Organization
WHITE HOUSE #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW POZNIAKOWSKI (OWNER)
(727) 789-2933
Entity
Organization
Contact information
Practice address
1822 NEBRASKA AVE, PALM HARBOR, FL 34683-3647
(727) 789-2933
(727) 789-2933
Mailing address
1822 NEBRASKA AVE, PALM HARBOR, FL 34683-3647
(727) 789-2933
(727) 789-2933
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AL8797
FL
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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