Individual
DANIELLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8012 SPRING CREEK DR, KISSIMMEE, FL 34747-2240
(407) 866-3587
Mailing address
8012 SPRING CREEK DR, KISSIMMEE, FL 34747-2240
(407) 866-3587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
49-51-2202828
FL
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
11/16/2020
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