Organization
SYDENY QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE CAMILLE LANE (OWNER)
(941) 504-4239
Entity
Organization
Contact information
Practice address
12003 52ND CT E, PARRISH, FL 34219-5470
(941) 504-4239
Mailing address
12003 52ND CT E, PARRISH, FL 34219-5470
(941) 504-4239
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906424
FL
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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