Organization
GODWIN HOUSE LLC
Active
Organization
GODWIN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY GRAHAM GODWIN (OWNER)
(352) 484-4131
Entity
Organization
Contact information
Practice address
1215 NW 15TH AVE, OCALA, FL 34475-5027
(352) 620-8988
(352) 629-5344
Mailing address
1215 NW 15TH AVE, OCALA, FL 34475-5027
(352) 620-8988
(352) 629-5344
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L06000033171
FL
253Z00000X
In Home Supportive Care Agency
L06000033171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690624996
—
FL
05
—
690951596
—
FL
05
—
690951598
—
FL
Enumeration date
11/19/2008
Last updated
11/19/2008
Update your record
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