NPI 1730621590

None at This Time

Organisation Adult Care Home Facility Winter Haven, FL

Practice location

Address: 725 Crestwood Dr, Winter Haven, FL 33881-2919
Phone: (863) 618-9182

Authorised official

Name: Wilene Charlemont Pierre
Title: Assitant Director of Nursing
Phone: (863) 618-9182

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence RN9313465 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1730621590
Entity type: Organization
NPI issued: 10 Nov 2016
Record last updated: 10 Nov 2016

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.