Organization
DELIBERATE TRANSITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA BELL (EXECUTIVE OFFICER/ MANAGER)
(850) 464-9420
Entity
Organization
Contact information
Practice address
757 NE RAINTREE AVE, PINETTA, FL 32350-2558
(850) 464-9420
(850) 929-3031
Mailing address
757 NE RAINTREE AVE, PINETTA, FL 32350-2558
(850) 464-9420
(850) 929-3031
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
231514
FL
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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