Gena Obry

NPI 1023410545 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1023410545
Enumeration Date 09/17/2014
Last Updated 09/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GENA GENA
Position OWNER
Phone (863) 229-5419
Fax
Practice Location
439 AVENUE D SE
WINTER HAVEN FL, 33880-3531, US
Phone (863) 229-5419
Fax
Business Location
439 AVENUE D SE
WINTER HAVEN FL, 33880-3531, US
Phone (863) 229-5419
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State Florida
License Number 6906588
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According to our database, Gena Obry NPI is 1023410545, taxonomy code is 311ZA0620X and license number is 6906588, license state is located at Florida. Gena Obry physically located at 439 Avenue D Se, Winter Haven FL, 33880-3531. NPI Number 1033115704 has the healthcare provider type.

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1023410545 NPI number is provided on an as is basis without warranty of any kind. 1023410545 is maintained by the National Plan & Provider Enumeration System. The contents of Gena Obry are for informational purposes only.