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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