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Organization

SUN PALMS ADULT DAY CARE LLC

Active
Other names
NOT APPLICABLE
Organization subpart
No

Provider details

NPI number
Authorized official
HOPLYN MCSEINE BEATON MD (OWNER/ ADMINISTRATOR)
(315) 935-5485
Entity
Organization

Contact information

Practice address
12717 GULFSTREAM BLVD, PORT CHARLOTTE, FL 33981-6721
(315) 935-5485
Mailing address
5568 ANDERSON RD, PORT CHARLOTTE, FL 33981-2101
(315) 935-5485

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9292
FL

Other

Enumeration date
10/30/2014
Last updated
10/30/2014
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