Organization
LAURELWOOD ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONILA VERACRUZ DUFVA (OWNER/ADMINISTRATOR)
(850) 476-1246
Entity
Organization
Contact information
Practice address
1851 W. TEN MILE RD, CANTONMENT, FL 32533
(850) 476-1246
(850) 476-4225
Mailing address
1851 W TEN MILE RD, CANTONMENT, FL 32533-7758
(850) 476-1246
(850) 476-4225
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AL9554
FL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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