Organization
ROBERT VEREEN ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DEAN PEARSON-VEREEN (ADMINISTRATOR)
(813) 986-9003
Entity
Organization
Contact information
Practice address
10010 BENJAMIN SMITH DR, THONOTOSASSA, FL 33592-3367
(813) 986-9003
Mailing address
10010 BENJAMIN SMITH DR, THONOTOSASSA, FL 33592-3367
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141386400
—
FL
Enumeration date
01/24/2015
Last updated
01/24/2015
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