Organization
MARCIA A. HOWELL
Active
Other names
Carnelian
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA A HOWELL (OWNER)
(813) 505-0454
Entity
Organization
Contact information
Practice address
17305 BLOOMING FIELDS DR, LAND O LAKES, FL 34638-7222
(813) 505-0454
(813) 926-4304
Mailing address
PO BOX 321, LAND O LAKES, FL 34639-0321
(813) 505-0454
(813) 926-4304
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692043896
—
FL
Enumeration date
04/22/2008
Last updated
06/24/2008
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