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Mrs. Monica Vickers
Adult Care Home Facility in Lake Wales, Florida
NPI 1407281660

Monica Vickers is an Adult Care Home Facility based in Lake Wales, FL and is specialized in Adult Care Home. Monica Vickers practices in Lake Wales, FL. The NPI Number for Monica Vickers is 1407281660 and holds a License No. 6906570 (Florida).

The current practice location address for Monica Vickers is 2313 Mammoth Grove Rd, Lake Wales, FL and can be reached out via phone at 863-206-6439.

Location: 2313 Mammoth Grove Rd, Lake Wales, FL, 33898-8583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407281660
Provider Name
Monica Vickers
Credential
Provider Entity Type
Individual
Gender
Female
Address
2313 Mammoth Grove Rd, Lake Wales, FL, 33898-8583
Phone Number
863-206-6439
Fax Number
Provider Enumeration Date
09/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006792400 05 FL
institution
Provider Business Practice Location Address Details
Address
2313 Mammoth Grove Rd
City
Lake Wales
State
Florida
Zip
33898-8583
Phone Number
863-206-6439
Fax Number
person
Provider Business Mailing Address Details
Address
2313 Mammoth Grove Rd
City
Lake Wales
State
Florida
Zip
33898-8583
Phone Number
863-206-6439
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.
6906570 (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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