Organization
ALL GOD'S CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY DANTZLER RN (OWNER)
(850) 533-6018
Entity
Organization
Contact information
Practice address
106 RIDGE LN, NICEVILLE, FL 32578-9712
(850) 533-6018
(850) 279-4716
Mailing address
106 RIDGE LN, NICEVILLE, FL 32578-9712
(850) 533-6018
(850) 279-4716
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3378712
FL
Other
Enumeration date
08/02/2006
Last updated
04/02/2012
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