Individual provider · Type 1 NPI

Raymond Bonner Jr., RN

Adult Care Home Facility · Palm Coast, FL

NPI number 1124443221 Active

Practice location

1 Lake Placid Ln
Palm Coast, FL 32137-9505

Call (386) 445-4680 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6906652 (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 1124443221

Raymond Bonner Jr., RN's National Provider Identifier is 1124443221, issued on Feb 26, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Palm Coast, FL. The record was last updated on Feb 26, 2014.