Organization
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Organization subpart
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Provider details
NPI number
Authorized official
FLEDA BROWN (ADMINISTRATOR)
(850) 638-5476
Entity
Organization
Contact information
Practice address
1613 MONROE SHEFFIELD RD, CHIPLEY, FL 32428-5719
(850) 638-5476
Mailing address
1613 MONROE SHEFFIELD RD, CHIPLEY, FL 32428-5719
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12572
FL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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