Individual provider · Type 1 NPI
Eddrena Thornton, OWNER
Adult Care Home Facility · Bartow, FL
NPI number
1336747658
Active
Practice location
2233 Bluebird Ave
Bartow, FL 33830-2953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6907032 (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.
Other adult care home facility providers in Bartow
About NPI 1336747658
Eddrena Thornton, OWNER's National Provider Identifier is 1336747658, issued on Oct 9, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bartow, FL. The record was last updated on Oct 10, 2020.