Individual
PAMELA G DRAYTON-BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 EASTVIEW PL, LAKELAND, FL 33810-2106
(863) 450-2168
Mailing address
1302 HONEYTREE LN E, LAKELAND, FL 33801-6537
(863) 899-0731
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10002088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691220696
—
FL
Enumeration date
02/15/2022
Last updated
02/15/2022
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