Adult Family Care Home

LBN: Adult Family Care Home
Adult Family Care Home is an health care organization with primary practice located at 309 N Wetmore St , Lake Wales FL 33853-4057. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Adult Family Care Home can be contacted via phone (863) 223-8104, or through Richardson, Rhonda via phone (863) 223-8104.

Contact Information

Primary practice address
309 N Wetmore St Lake Wales FL 33853-4057
Phone: (863) 223-8104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Rhonda
Phone: (863) 223-8104

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6906614 Florida

Profile Details

NPI number 1669871083
LBN Legal business name Adult Family Care Home
DBA Doing business as
Authorized official Richardson, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2014
Last updated Aug 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669871083 NPPES
Florida MEDICAID 008834600

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