Organization
MONICA L. VICKERS ASSOCIATES
Active
Other names
Monica L. Vickers
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA L VICKERS (PRESIDENT)
(863) 206-6439
Entity
Organization
Contact information
Practice address
2313 MAMMOTH GROVE RD, LAKE WALES, FL 33898-8583
(863) 206-6439
Mailing address
2313 MAMMOTH GROVE RD, LAKE WALES, FL 33898-8583
(863) 206-6439
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906570
FL
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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