Organization
FALO HILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE PEACOCK (ADMINISTRATOR)
(850) 973-2348
Entity
Organization
Contact information
Practice address
458 NW MARION ST, MADISON, FL 32340-1431
(850) 973-2348
(850) 973-2404
Mailing address
458 NW MARION ST, MADISON, FL 32340-1431
(850) 973-2348
(850) 973-2404
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12141
FL
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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