Organization
HAMMACK'S RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL HAMMACK (OWNER)
(850) 535-2491
Entity
Organization
Contact information
Practice address
4919 HAMMACK RD, VERNON, FL 32462-3546
(850) 535-2491
(850) 535-2491
Mailing address
4919 HAMMACK RD, VERNON, FL 32462-3546
(850) 535-2491
(850) 535-2491
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140360500
—
FL
Enumeration date
09/16/2013
Last updated
09/16/2013
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