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Organization

EDITH KELLER

Active
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Organization

EDITH KELLER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDITH KELLER (OWNER)
(727) 375-8063
Entity
Organization

Contact information

Practice address
5018 YELLOWSTONE DR, NEW PORT RICHEY, FL 34655-4380
(727) 375-8063
Mailing address
5018 YELLOWSTONE DR, NEW PORT RICHEY, FL 34655-4380
(727) 375-8063

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905561
FL

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
About Stedi
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