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Shirley Adams
Assisted Living Facility in Welaka, Florida
NPI 1285970632

Shirley Adams is an Assisted Living Facility based in Welaka, FL. Shirley Adams practices in Welaka, FL. The NPI Number for Shirley Adams is 1285970632 and holds a License No. AL5705 (Florida).

The current practice location address for Shirley Adams is 611 Old Welaka Rd, Welaka, FL and can be reached out via phone at 386-467-2004 and via fax at 386-467-9998.

Location: 611 Old Welaka Rd, Welaka, FL, 32193-2172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285970632
Provider Name
Shirley Adams
Credential
Provider Entity Type
Individual
Gender
Female
Address
611 Old Welaka Rd, Welaka, FL, 32193-2172
Phone Number
386-467-2004
Fax Number
386-467-9998
Provider Enumeration Date
12/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
686143100 05 FL
140334600 05 FL
institution
Provider Business Practice Location Address Details
Address
611 Old Welaka Rd
City
Welaka
State
Florida
Zip
32193-2172
Phone Number
386-467-2004
Fax Number
386-467-9998
person
Provider Business Mailing Address Details
Address
611 Old Welaka Rd
City
Welaka
State
Florida
Zip
32193-2172
Phone Number
386-467-2004
Fax Number
386-467-9998
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL5705 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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