Organization
ADULT FAMILY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNICE G LAIDLAW (OWNER/ADMINISTRATOR)
(321) 951-2887
Entity
Organization
Contact information
Practice address
2052 SYRACUSE CT NE, PALM BAY, FL 32905-3923
(321) 951-2887
(321) 327-5000
Mailing address
2052-54 SYRACUSE COURT, PALM BAY, FL 32905
(321) 951-2887
(321) 327-5000
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905399
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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