Individual provider · Type 1 NPI
Robert Ponder Vereen
Adult Care Home Facility · Thonotosassa, FL
NPI number
1174010755
Active
Practice location
10010 Benjamin Smith Dr
Thonotosassa, FL 33592-3367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6905877 (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.
Another provider at this address
Other adult care home facility providers in Thonotosassa
About NPI 1174010755
Robert Ponder Vereen's National Provider Identifier is 1174010755, issued on Apr 18, 2018. 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 Apr 18, 2018.