Organization
ADKINS FIRST CLASS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE SAMUEL ADKINS (MANAGING MEMBER)
(352) 591-9679
Entity
Organization
Contact information
Practice address
15595 NW 27TH AVE, CITRA, FL 32113-2915
(352) 361-6680
(352) 591-9679
Mailing address
15595 NW 27TH AVE, CITRA, FL 32113-2915
(352) 361-6680
(352) 591-9679
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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