Organization
DOGWOOD INNS ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HALL (VICE PRESIDENT)
(850) 258-4560
Entity
Organization
Contact information
Practice address
108 WAGNER RD, BONIFAY, FL 32425-2923
(850) 547-3708
Mailing address
108 WAGNER RD, BONIFAY, FL 32425-2923
(850) 258-4560
(850) 547-6530
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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