Organization
RESTORATION HOMES ASSISTED LIVING FACILITY
Active
Other names
Cayonna M. Moore
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAYONNA M MOORE-STRODDER (ADMINISTRATOR)
(863) 662-0550
Entity
Organization
Contact information
Practice address
135 MANSEAU DR, WINTER HAVEN, FL 33880-1719
(863) 875-4961
(863) 229-7186
Mailing address
135 MANSEAU DR, WINTER HAVEN, FL 33880-1719
(863) 875-4961
(863) 229-7186
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014960000
—
FL
Enumeration date
08/03/2017
Last updated
07/22/2021
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