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Adult Family Care Home
Adult Care Home Facility in Lake Wales, Florida
NPI 1669871083

Adult Family Care Home is an Adult Care Home Facility based in Lake Wales, FL and is specialized in Adult Care Home. Adult Family Care Home practices in Lake Wales, FL. The NPI Number for Adult Family Care Home is 1669871083 and holds a License No. 6906614 (Florida).

The current practice location address for Adult Family Care Home is 309 N Wetmore St, Lake Wales, FL and can be reached out via phone at 863-223-8104.

Location: 309 N Wetmore St, Lake Wales, FL, 33853-4057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669871083
Provider Name
Adult Family Care Home
Credential
Provider Entity Type
Organization
Address
309 N Wetmore St, Lake Wales, FL, 33853-4057
Phone Number
863-223-8104
Fax Number
Provider Enumeration Date
08/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008834600 05 FL
institution
Provider Business Practice Location Address Details
Address
309 N Wetmore St
City
Lake Wales
State
Florida
Zip
33853-4057
Phone Number
863-223-8104
Fax Number
person
Provider Business Mailing Address Details
Address
309 N Wetmore St
City
Lake Wales
State
Florida
Zip
33853-4057
Phone Number
863-223-8104
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.
6906614 (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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