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Judith Barret Douglas
Adult Care Home Facility in Lakeland, Florida
NPI 1780086553

Judith Barret Douglas is an Adult Care Home Facility based in Lakeland, FL and is specialized in Adult Care Home. Judith Barret Douglas practices in Lakeland, FL. The NPI Number for Judith Barret Douglas is 1780086553 and holds a License No. 6906660 (Florida).

The current practice location address for Judith Barret Douglas is 3988 Hampton Hills Dr, Lakeland, FL and can be reached out via phone at 863-868-8758.

Location: 3988 Hampton Hills Dr, Lakeland, FL, 33810-3841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780086553
Provider Name
Judith Barret Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3988 Hampton Hills Dr, Lakeland, FL, 33810-3841
Phone Number
863-868-8758
Fax Number
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011674100 05 FL
institution
Provider Business Practice Location Address Details
Address
3988 Hampton Hills Dr
City
Lakeland
State
Florida
Zip
33810-3841
Phone Number
863-868-8758
Fax Number
person
Provider Business Mailing Address Details
Address
3988 Hampton Hills Dr
City
Lakeland
State
Florida
Zip
33810-3841
Phone Number
863-868-8758
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.
6906660 (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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