NPI | 1396906707 |
---|---|
Doing Business As | CHARLES R. RICHARDSON ADULT DAY CARE CENTER |
Entity Type | Organization |
Authorized Contact | SAMUEL (SAM) JOHNSON Chairman 863-534-6049 |
Organization Subpart ? | No |
Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: FL 390) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |