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Mrs. Vera Renita Mathis
Adult Care Home Facility in Haines City, Florida
NPI 1568897700

Vera Renita Mathis is an Adult Care Home Facility based in Haines City, FL and is specialized in Adult Care Home. Vera Renita Mathis practices in Haines City, FL. The NPI Number for Vera Renita Mathis is 1568897700 and holds a License No. 6906328 (Florida).

The current practice location address for Vera Renita Mathis is 331 Thomasdale Ave, Haines City, FL and can be reached out via phone at 863-242-1261.

Location: 331 Thomasdale Ave, Haines City, FL, 33844-6381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568897700
Provider Name
Vera Renita Mathis
Credential
Provider Entity Type
Individual
Gender
Female
Address
331 Thomasdale Ave, Haines City, FL, 33844-6381
Phone Number
863-242-1261
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
002740700 05 FL
institution
Provider Business Practice Location Address Details
Address
331 Thomasdale Ave
City
Haines City
State
Florida
Zip
33844-6381
Phone Number
863-242-1261
Fax Number
person
Provider Business Mailing Address Details
Address
331 Thomasdale Ave
City
Haines City
State
Florida
Zip
33844-6381
Phone Number
863-242-1261
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.
6906328 (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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