Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA CAVENER CRTT (RESPIRATORY THERAPIST)
(850) 776-8448
Entity
Organization
Contact information
Practice address
5214 GOSHAWK DR, MILTON, FL 32570-5020
(850) 776-8448
Mailing address
5214 GOSHAWK DR, MILTON, FL 32570-5020
(850) 776-8448
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
TT3185
FL
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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