Organization
GOODHEAVEN AFCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN BARTON LPN (ADMINISTRATOR)
(772) 646-1939
Entity
Organization
Contact information
Practice address
124 BELLAMY TRL, SEBASTIAN, FL 32958-6483
(772) 646-1939
(772) 589-7328
Mailing address
124 BELLAMY TRL, SEBASTIAN, FL 32958-6483
(772) 646-1939
(772) 589-7328
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
6906452
FL
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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