Breakwater Adult Family Care Home, Llc

NPI 1396712477 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1396712477
Enumeration Date 03/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VINCE L VINCE
Position OWNER-PROVIDER
Phone (352) 465-4877
Fax (352) 465-8033
Practice Location
22699 SW BREAKWATER BLVD
DUNNELLON FL, 34431-4039, US
Phone (352) 465-4877
Fax (352) 465-8033
Business Location
22699 SW BREAKWATER BLVD
DUNNELLON FL, 34431-4039, US
Phone (352) 465-4877
Fax (352) 465-8033
Toxanomy
Taxonomy Code 251C00000X
License State Florida
License Number 6905655
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According to our database, Breakwater Adult Family Care Home, Llc NPI is 1396712477, taxonomy code is 251C00000X and license number is 6905655, license state is located at Florida. Breakwater Adult Family Care Home, Llc physically located at 22699 Sw Breakwater Blvd, Dunnellon FL, 34431-4039. NPI Number 1033115704 has the healthcare provider type.

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1396712477 NPI number is provided on an as is basis without warranty of any kind. 1396712477 is maintained by the National Plan & Provider Enumeration System. The contents of Breakwater Adult Family Care Home, Llc are for informational purposes only.