Organization
FLORRY CREATIVE CARE CORPORATION
Active
Parent organization
FLORRY CREATIVE CARE CORP
Other names
Coventry Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORRY CREATIVE CARE CORP
Authorized official
CHERRY HALLBACK (ADMINISTRATOR)
(813) 704-6918
Entity
Organization
Contact information
Practice address
415 N. WILDER RD, PLANT CITY, FL 33566
(813) 441-4761
(813) 704-4745
Mailing address
415 N. WILDER RD, PLANT CITY, FL 33566
(813) 441-4761
(813) 704-4745
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104395400
—
FL
Enumeration date
12/05/2012
Last updated
01/09/2020
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