Organization
SOUTHERN PALM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SUTERS (ADMINISTRATION)
(850) 559-2543
Entity
Organization
Contact information
Practice address
1472 BOLGER AVE, SPRING HILL, FL 34609-6107
(352) 600-8095
(352) 796-5262
Mailing address
1472 BOLGER AVE, SPRING HILL, FL 34609-6107
(352) 600-8095
(352) 796-5262
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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