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Elridge Daigle JR.
Adult Care Home Facility in Riverview, Florida
NPI 1689914749

Elridge Daigle JR. is an Adult Care Home Facility based in Riverview, FL and is specialized in Adult Care Home. Elridge Daigle JR. practices in Riverview, FL. The NPI Number for Elridge Daigle JR. is 1689914749 and holds a License No. 6906187 (Florida).

The current practice location address for Elridge Daigle JR. is 10507 Sedgebrook Dr, Riverview, FL and can be reached out via phone at 813-672-3880.

Location: 10507 Sedgebrook Dr, Riverview, FL, 33569-8701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689914749
Provider Name
Elridge Daigle JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
10507 Sedgebrook Dr, Riverview, FL, 33569-8701
Phone Number
813-672-3880
Fax Number
Provider Enumeration Date
02/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143044100 05 FL
institution
Provider Business Practice Location Address Details
Address
10507 Sedgebrook Dr
City
Riverview
State
Florida
Zip
33569-8701
Phone Number
813-672-3880
Fax Number
person
Provider Business Mailing Address Details
Address
10507 Sedgebrook Dr
City
Riverview
State
Florida
Zip
33569-8701
Phone Number
813-672-3880
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.
6906187 (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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