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Organization

ENON COUNTRY MANOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AL GREGORY (OWNER)
(850) 327-4459
Entity
Organization

Contact information

Practice address
7701 ENON SCHOOL RD, WALNUT HILL, FL 32568-1531
(850) 327-4459
Mailing address
7701 ENON SCHOOL RD, WALNUT HILL, FL 32568-1531
(850) 327-4459
(850) 327-4724

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 5153
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AL5153
FL
Enumeration date
08/20/2010
Last updated
08/20/2010
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