Organization
CANDY'S HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEHINDE EKWOTAFIA (ADMINISTRATOR)
(321) 693-1776
Entity
Organization
Contact information
Practice address
405 ROSEDALE DR, SATELLITE BEACH, FL 32937-3322
(321) 693-1776
Mailing address
405 ROSEDALE DR, SATELLITE BEACH, FL 32937-3322
(321) 693-1776
(321) 610-3772
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010756900
—
FL
Enumeration date
05/15/2018
Last updated
05/15/2018
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