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Organization
NONE AT THIS TIME
Active
Organization
NONE AT THIS TIME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILENE CHARLEMONT PIERRE R.N. (ASSITANT DIRECTOR OF NURSING)
(863) 618-9182
Entity
Organization
Contact information
Practice address
725 CRESTWOOD DR, WINTER HAVEN, FL 33881-2919
(863) 618-9182
Mailing address
725 CRESTWOOD DR, WINTER HAVEN, FL 33881-2919
(863) 618-9182
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RN9313465
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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