Organization · Type 2 NPI

Traumatic Brain Education Adult Community Home

Assisted Living Facility · Wauchula, FL

NPI number 1114052933 Active

Practice location

3858 W Main St
Wauchula, FL 33873-9395

Fax (863) 773-2041

Mailing address

PO Box 1722
Wauchula, FL 33873-1722

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL0008514 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1114052933

Traumatic Brain Education Adult Community Home's National Provider Identifier is 1114052933, issued on Feb 22, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wauchula, FL. The record was last updated on Aug 22, 2020.