Organization
CHRISTMAS COMMUNITY RESIDENTIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE LEE CHRISTMAS (OWNER/OPERATOR)
(239) 440-1469
Entity
Organization
Contact information
Practice address
16691 1ST ST, ALVA, FL 33920-4119
(239) 728-3998
(239) 728-3998
Mailing address
16691 1ST ST, ALVA, FL 33920-4119
(239) 728-3998
(239) 728-3998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906393
FL
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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