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Individual

MRS. JEANINE SMITH MCNEILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7338 SPRING HILL DR, SPRING HILL, FL 34606
(352) 683-6251
(352) 683-5227
Mailing address
7338 SPRING HILL DR, SPRING HILL, FL 34606
(352) 683-6251
(352) 683-5227

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
676582396
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141671500
OSS
FL
05
676582396
FL
05
676582398
FL
Enumeration date
03/16/2009
Last updated
03/16/2009
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