Organization
CB HEALTH VENTURES, INC.
Active
Other names
Dogwood Inn
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWTON BRADLEY SMITH (OWNER)
(850) 758-0178
Entity
Organization
Contact information
Practice address
108 WAGNER RD., BONIFAY, FL 32425
(850) 547-3891
(850) 547-3891
Mailing address
108 WAGNER RD., BONIFAY, FL 32425
(850) 547-3891
(850) 547-3891
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142939600
—
FL
Enumeration date
08/06/2013
Last updated
08/06/2013
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