Organization
CIERRA'S PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE RHODES (PRESIDENT/OWNER)
(850) 524-4921
Entity
Organization
Contact information
Practice address
5356 KINGFISHERS CT, TALLAHASSEE, FL 32303-8918
(850) 524-4921
Mailing address
5356 KINGFISHERS CT, TALLAHASSEE, FL 32303-8918
(850) 524-4921
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
5199913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606686998
—
FL
05
—
686606996
—
FL
Enumeration date
05/29/2012
Last updated
05/29/2012
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