Organization
ANGELIKA'S COUNTRYSIDE ADULT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIKA E GIECK (OWNER)
(352) 610-0121
Entity
Organization
Contact information
Practice address
12102 CROMWELL WAY, SPRING HILL, FL 34609-9640
(352) 610-0121
Mailing address
12102 CROMWELL WAY, SPRING HILL, FL 34609-9640
(352) 610-0121
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906571
FL
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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