WILLIE CHRISTMAS

ALVA, FL
NPI1396177184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6906393)
Enumeration Date2013-08-02
Last Update Date2013-08-02
Business Address
Mr. WILLIE CHRISTMAS
16691 1ST ST
ALVA, FL 33920-4119
Phone number: 239-728-3998
Mailing Address
Mr. WILLIE CHRISTMAS
16691 1ST ST
ALVA, FL 33920-4119
Phone number: 239-728-3998