Organization · Type 2 NPI

Dorothy Bode

Adult Care Home Facility · Thonotosassa, FL

NPI number 1003218603 Active

Practice location

11930 Fort King Hwy
Thonotosassa, FL 33592-2804

Call (813) 986-2567 Map

Fax (813) 409-3729

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6905193 (FL)

Adult Care Home Facility: 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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About NPI 1003218603

Dorothy Bode's National Provider Identifier is 1003218603, issued on Sep 25, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Thonotosassa, FL. The record was last updated on Sep 25, 2014.