Organization
MAVIS HINSON ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAVIS ERNESTINE HINSON (PROVIDER)
(772) 460-8498
Entity
Organization
Contact information
Practice address
600 SOUTH 10TH STREET, FORT PIERCE, FL 34950-8516
(772) 460-8498
(772) 460-8498
Mailing address
600 SOUTH 10TH STREET, FORT PIERCE, FL 34950-8516
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906464
FL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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