Muriel Hanna
Custodial Care Facility, Adult Care Home in Davenport, FL. Individual provider (NPI-1).
NPI number1699102491
StatusActive
Last updated in NPPESOct 11, 2013
Details
- NPI
- 1699102491
- Entity type
- Individual (NPI-1)
- Name
- Muriel Hanna
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2013
- Last updated
- Oct 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906492 | FL | Yes |
Practice location
111 Lake Davenport Estates DrDavenport, FL 33897-8553
Phone 407-451-0171
Mailing address
109 Ambersweet Way#157
Davenport, FL 33897-8418
Phone 407-451-0171
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Other Adult Care Home Facility providers in Davenport, FL
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All 5 Adult Care Home Facility providers in Davenport · All 1,216 providers in Davenport
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