Individual
JANICE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 SW GRANDVIEW ST, LAKE CITY, FL 32025-0740
(386) 466-0005
(386) 438-5368
Mailing address
1225 SW GRANDVIEW ST, LAKE CITY, FL 32025-0740
(386) 466-0005
(386) 438-5368
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693311400
—
FL
Enumeration date
09/05/2014
Last updated
09/05/2014
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