Individual
MRS. SHIRLEY CARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 CANAL RD, PALMETTO, FL 34221-2446
(941) 722-1086
Mailing address
3105 CANAL RD, PALMETTO, FL 34221-2446
(941) 722-1086
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141378300
—
FL
Enumeration date
09/06/2013
Last updated
09/06/2013
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