NPI 1003218603

Dorothy Bode

Organisation Adult Care Home Facility Thonotosassa, FL

Practice location

Address: 11930 Fort King Hwy, Thonotosassa, FL 33592-2804
Phone: (813) 986-2567
Fax: (813) 409-3729

Authorised official

Name: Dorothy D Bode
Title: Ceo
Phone: (813) 986-2567

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6905193 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1003218603
Entity type: Organization
NPI issued: 25 Sep 2014
Record last updated: 25 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.