Organization
COLEMAN ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOTLYN SALOME COLEMAN RN (OWNER)
(321) 303-4907
Entity
Organization
Contact information
Practice address
3410 WESTFORD DR, APOPKA, FL 32712-5647
(321) 303-4907
(407) 523-3798
Mailing address
3410 WESTFORD DR, APOPKA, FL 32712-5647
(321) 303-4907
(407) 523-3798
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142490400
—
FL
Enumeration date
10/03/2014
Last updated
10/03/2014
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