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Robert Ponder Vereen
Adult Care Home Facility in Thonotosassa, Florida
NPI 1174010755

Robert Ponder Vereen is an Adult Care Home Facility based in Thonotosassa, FL and is specialized in Adult Care Home. Robert Ponder Vereen practices in Thonotosassa, FL. The NPI Number for Robert Ponder Vereen is 1174010755 and holds a License No. 6905877 (Florida).

The current practice location address for Robert Ponder Vereen is 10010 Benjamin Smith Dr, Thonotosassa, FL and can be reached out via phone at 813-986-9003.

Location: 10010 Benjamin Smith Dr, Thonotosassa, FL, 33592-3367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174010755
Provider Name
Robert Ponder Vereen
Credential
Provider Entity Type
Individual
Gender
Male
Address
10010 Benjamin Smith Dr, Thonotosassa, FL, 33592-3367
Phone Number
813-986-9003
Fax Number
Provider Enumeration Date
04/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10010 Benjamin Smith Dr
City
Thonotosassa
State
Florida
Zip
33592-3367
Phone Number
813-986-9003
Fax Number
person
Provider Business Mailing Address Details
Address
10010 Benjamin Smith Dr
City
Thonotosassa
State
Florida
Zip
33592-3367
Phone Number
813-986-9003
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905877 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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