Individual
SHIRLEY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 OLD WELAKA RD, WELAKA, FL 32193-2172
(386) 467-2004
(386) 467-9998
Mailing address
611 OLD WELAKA RD, WELAKA, FL 32193-2172
(386) 467-2004
(386) 467-9998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140334600
—
FL
05
—
686143100
—
FL
Enumeration date
12/12/2012
Last updated
12/12/2012
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