Whalio Doctors

NPI 1538608930

Colleen Adult Family Care Home

Organisation Adult Care Home Facility Winter Haven, FL

Practice location

Address
5615 Royal Hills St, Winter Haven, FL 33881-7703
Phone
(863) 307-1298

Authorised official

Name
Colleen Marshall
Title
Owner
Phone
(863) 307-1298

Registered specialties (2)

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Home Health Agency
Agencies Taxonomy 251E00000X Licence 6906156 (FL)

Registry record

NPI
1538608930
Entity type
Organization
NPI issued
17 Feb 2017
Record last updated
6 Mar 2019

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.