Organization
ADDIE'S ADULT FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE CELESTINE JAMES (ADMISTRATOR)
(813) 778-2845
Entity
Organization
Contact information
Practice address
7608 COPELAND RD, ODESSA, FL 33556-3205
(813) 778-8245
Mailing address
7608 COPELAND RD, ODESSA, FL 33556-3205
(813) 778-8245
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906678
FL
372600000X
Adult Companion
234669
FL
376J00000X
Homemaker
234669
FL
Other
Enumeration date
06/03/2014
Last updated
01/20/2017
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