Individual provider · Type 1 NPI
Michele M. Gavin, OWNER
Nursing Home Administrator · St. Cloud, FL
NPI number
1629692736
Active
Practice location
3450 Kaiser Ave
St. Cloud, FL 34772-7311
Mailing address
4701 Old Canoe Creek Rd Unit 702121
St. Cloud, FL 34770-7086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | 6969062 (FL) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1629692736
Michele M. Gavin, OWNER's National Provider Identifier is 1629692736, issued on Jun 4, 2020. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in St. Cloud, FL. The record was last updated on Jun 4, 2020.