Individual
MARJORIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1289 SW HILLSBOROUGH AVE, ARCADIA, FL 34266-8498
(863) 494-0099
Mailing address
927 BOND ST, ARCADIA, FL 34266-3015
(863) 494-0099
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
31104A0625X
FL
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10442
FL
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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