Organization
PAULETTE'S ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE C WALKER-SLATER (PROVIDER/CNA)
(813) 986-1011
Entity
Organization
Contact information
Practice address
10122 TIMMONS RD, THONOTOSASSA, FL 33592-3349
(813) 986-1011
(813) 982-2039
Mailing address
10122 TIMMONS RD, THONOTOSASSA, FL 33592-3349
(813) 986-1011
(813) 982-2039
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015100
—
FL
Enumeration date
05/04/2009
Last updated
07/21/2022
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