Organization
BILL'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D SWARTOUT (OWNER/OPERATOR)
(904) 291-1962
Entity
Organization
Contact information
Practice address
4860 CHICKPEA ST, MIDDLEBURG, FL 32068-5957
(904) 291-1962
(904) 291-1962
Mailing address
4860 CHICKPEA ST, MIDDLEBURG, FL 32068-5957
(904) 291-1962
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141503400
—
FL
Enumeration date
07/07/2008
Last updated
07/07/2008
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