Individual
MRS. RUBY LEE VARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12167 NW FREEMAN RD, BRISTOL, FL 32321
(850) 643-5155
(850) 643-3721
Mailing address
12167 NW FREEMAN ROAD, VARNUM'S REST HOME, BRISTOL, FL 32321
(850) 643-5155
(850) 643-3721
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140029100
—
FL
05
—
679025900
—
FL
Enumeration date
03/08/2013
Last updated
03/08/2013
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