NPI 1326438748

Robert Vereen Adult Family Care Home

Organisation Adult Care Home Facility Thonotosassa, FL

Practice location

Address: 10010 Benjamin Smith Dr, Thonotosassa, FL 33592-3367
Phone: (813) 986-9003

Authorised official

Name: Mary Dean Pearson-Vereen
Title: Administrator
Phone: (813) 986-9003

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6905877 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1326438748
Entity type: Organization
NPI issued: 24 Jan 2015
Record last updated: 24 Jan 2015

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.