MR. WILLIE CHRISTMAS

Custodial Care Facility - Adult Care Home

Active Individual
NPI: 1396177184

Practice Address

16691 1ST ST
Alva, FL 33920

Phone: (239) 728-3998

Specialties

Specialty Code Primary License
Custodial Care Facility - Adult Care Home 311ZA0620X Yes 6906393 (FL)

Frequently Asked Questions

NPI 1396177184 is the National Provider Identifier for MR. WILLIE CHRISTMAS, a Custodial Care Facility - Adult Care Home provider located in Alva, FL. This NPI was enumerated on August 2, 2013.
MR. WILLIE CHRISTMAS practices at 16691 1ST ST, Alva, FL 33920.

Quick Facts

NPI
1396177184
Type
Individual
Enumerated
Aug 2, 2013
Last Updated
Aug 2, 2013

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