Elizabeth Dawn Heiman
Point of Service in Tavares, FL. Individual provider (NPI-1).
NPI number1669891784
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1669891784
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Dawn Heiman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2014
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | AL7472 | FL | Yes |
| 310400000X | Assisted Living Facility | 7472 | FL |
Practice location
2450 Dora AveTavares, FL 32778-4974
Phone 352-434-4464 · Fax 352-434-3234
Mailing address
2450 Dora AveTavares, FL 32778-4974
Phone 352-434-4464 · Fax 352-434-3234
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