Individual provider · Type 1 NPI
Cory Coleman
Adult Care Home Facility · Sanderson, FL
NPI number
1306656624
Active
Practice location
14164 US Highway 90
Sanderson, FL 32087-2356
Fax (904) 397-2699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6907127 (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.
About NPI 1306656624
Cory Coleman's National Provider Identifier is 1306656624, issued on Jan 9, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Sanderson, FL. The record was last updated on Jan 9, 2025.