Organization
RADIKA SIMS ADULT FAMILY CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RADIKA SIMS (OWNER)
(813) 494-8785
Entity
Organization
Contact information
Practice address
720 CRISTELLE JEAN DR, RUSKIN, FL 33570-7930
(813) 494-8785
(813) 419-4327
Mailing address
720 CRISTELLE JEAN DR, RUSKIN, FL 33570-7930
(813) 494-8785
(813) 419-4327
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004510200
—
FL
Enumeration date
04/16/2013
Last updated
04/16/2013
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