Organization
EAKENS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RONEISHA MILNER (LICENSED PRACTICAL NURSE)
(832) 727-0118
Entity
Organization
Contact information
Practice address
8402 RIO BRAVO CT, 3, TAMPA, FL 33617-7083
(832) 727-0118
(832) 727-0118
Mailing address
8402 RIO BRAVO CT, 3, TAMPA, FL 33617-7083
(832) 727-0118
(832) 727-0118
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PN5211100
FL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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