CLARA FERGUSON I

Assisted Living Facility

Active Individual
NPI: 1366866097

Practice Address

184 SE BEECH ST
Lake City, FL 32025

Phone: (615) 974-9714

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 12314 (FL)

Frequently Asked Questions

NPI 1366866097 is the National Provider Identifier for CLARA FERGUSON I, a Assisted Living Facility provider located in Lake City, FL. This NPI was enumerated on February 17, 2014.
CLARA FERGUSON I practices at 184 SE BEECH ST, Lake City, FL 32025.

Quick Facts

NPI
1366866097
Type
Individual
Enumerated
Feb 17, 2014
Last Updated
Feb 17, 2014

Nearby Providers