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Organization
MAVIS HINSON ADULT FAMILY CARE HOME
Active
Organization
MAVIS HINSON ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAVIS ERNESTINE HINSON (PROVIDER)
(772) 460-8498
Entity
Organization
Contact information
Practice address
600 SOUTH 10TH STREET, FORT PIERCE, FL 34950-8516
(772) 460-8498
(772) 460-8498
Mailing address
600 SOUTH 10TH STREET, FORT PIERCE, FL 34950-8516
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906464
FL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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