Organization
RESTHAVEN OF HARDEE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOIS CRAWLEY (CHAIRMAN BOARD OF DIRECTORS)
(863) 773-6000
Entity
Organization
Contact information
Practice address
298 RESTHAVEN RD, ZOLFO SPRINGS, FL 33890-9500
(863) 773-6000
Mailing address
120 N 4TH AVE, WAUCHULA, FL 33873-2710
(863) 773-2637
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142410600
—
FL
Enumeration date
05/01/2009
Last updated
05/01/2009
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