Organization
SENIOR RESIDENCES, INC.
Active
Other names
Senior Residences, Inc. -Dogwood Inn
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY SIMS (EXECUTIVE DIRECTOR)
(850) 547-3891
Entity
Organization
Contact information
Practice address
108 WAGNER RD, BONIFAY, FL 32425-2923
(850) 547-3891
(850) 547-0177
Mailing address
1380 COLUMBIA RD, SOUTH BOSTON, MA 02127-2934
(617) 268-9061
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
FL
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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