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Organization

FANTA VILLA CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCESS BARCHUE (OWNER)
(727) 815-5499
Entity
Organization

Contact information

Practice address
19135 US HIGHWAY 19 N APT B26, CLEARWATER, FL 33764-3200
(727) 815-5499
Mailing address
19135 US HIGHWAY 19 N APT B26, CLEARWATER, FL 33764-3200
(727) 815-5499

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
03/29/2023
Last updated
03/30/2023
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