Individual
ACACIA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
15715 S DIXIE HWY STE 328, MIAMI, FL 33157-1883
(786) 592-1415
(253) 270-8779
Mailing address
114 SAND PINE TRL, CRAWFORDVILLE, FL 32327-1253
(850) 933-8929
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
CNA347186
FL
374U00000X
Home Health Aide
CNA347186
FL
376K00000X
Nurse's Aide
CNA347186
FL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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