Organization
BROTHERS CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MICHAEL GURNEY (OWNER)
(813) 996-9832
Entity
Organization
Contact information
Practice address
3475 FOXHALL DR, HOLIDAY, FL 34691-2526
(727) 243-2049
(813) 996-2454
Mailing address
15818 LEATHERLEAF LN, LAND O LAKES, FL 34638-7912
(813) 996-9832
(813) 996-2454
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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