NPI 1023410545

Gena Obry

Organisation Adult Care Home Facility Winter Haven, FL

Practice location

Address: 439 Avenue D SE, Winter Haven, FL 33880-3531
Phone: (863) 229-5419

Authorised official

Name: Gena Obry
Title: Owner
Phone: (863) 229-5419

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906588 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1023410545
Entity type: Organization
NPI issued: 17 Sep 2014
Record last updated: 17 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.