Organization
COUNTRY COTTAGE ON MAIN STREET ADULT DAY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA M TRENTINO (ADMINISTRATOR)
(727) 459-1189
Entity
Organization
Contact information
Practice address
201 S MAIN ST, BROOKSVILLE, FL 34601-3337
(352) 433-8100
Mailing address
201 S MAIN ST, BROOKSVILLE, FL 34601-3337
(352) 433-8100
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
FL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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