Organization
CLARKES QUALITY CARE, LLC
Active
Other names
Crestwood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLICENT MARIE MILLER-CLARKE (OWNER)
(813) 215-5156
Entity
Organization
Contact information
Practice address
2214 VALRICO FOREST DR, VALRICO, FL 33594-3709
(813) 215-5156
Mailing address
729 CRESTWOOD RD, ENGLEWOOD, FL 34223-3901
(941) 474-5456
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7293
FL
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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