Organization · Type 2 NPI
Adult Family Care Home
Adult Care Home Facility · Lake Wales, FL
NPI number
1669871083
Active
Practice location
309 N Wetmore St
Lake Wales, FL 33853-4057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6906614 (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 Lake Wales
About NPI 1669871083
Adult Family Care Home's National Provider Identifier is 1669871083, issued on Aug 21, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lake Wales, FL. The record was last updated on Aug 27, 2014.