Obry, Gena
Obry, Gena is an sole proprietor health care provider with primary practice located at 439 Avenue D Se , Winter Haven FL 33880-3531. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Obry, Gena can be contacted via phone (863) 229-5414.Contact Information
Primary practice address
439 Avenue D Se
Winter Haven FL 33880-3531
Phone: (863) 229-5414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6906588 | Florida |
Profile Details
| NPI number | 1740684554 |
|---|---|
| LBN Legal business name | Obry, Gena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2014 |
| Last updated | Oct 22nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740684554 | NPPES |
| Florida | MEDICAID | 012306000 |
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