# CATHY'S ADULT FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629181391
- **Authorized official:** MRS. CATHERINE WHITE (OWNER)
- **Authorized official phone:** (863) 859-7804

## Contact information

- **Practice address:** 420 EL DORADO ST, LAKELAND, FL 33809-4284
- **Practice address phone:** (863) 859-7804
- **Practice address fax:** (863) 859-7804
- **Mailing address:** 420 EL DORADO ST, LAKELAND, FL 33809-4284
- **Mailing address phone:** (863) 859-7804
- **Mailing address fax:** (863) 859-7804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6905749 | FL | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020