RAYMOND B HENDRICKS

PORT CHARLOTTE, FL
NPI1144699646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6906749)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
Mr. RAYMOND B HENDRICKS
1306 ANNETTE ST
PORT CHARLOTTE, FL 33980
Phone number: 941-764-1572
Mailing Address
Mr. RAYMOND B HENDRICKS
1306 ANNETTE ST
PORT CHARLOTTE, FL 33980
Phone number: 941-764-1572
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