STANFORD SPENCER

PENSACOLA, FL
NPI1518355213
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: FL  11029)
Enumeration Date2015-01-03
Last Update Date2015-01-03
Business Address
-- STANFORD SPENCER OTR
10040 HILLVIEW DR
PENSACOLA, FL 32514-5499
Phone number: 850-474-7057
Mailing Address
-- STANFORD SPENCER OTR
10040 HILLVIEW DR
PENSACOLA, FL 32514-5499
Phone number: 850-474-7057