Cecropia S Ballard LLC
Nursing Facility/Intermediate Care Facility in Tallahassee, FL. Organization (NPI-2).
NPI number1962759738
StatusActive
Last updated in NPPESAug 10, 2012
Details
- NPI
- 1962759738
- Entity type
- Organization (NPI-2)
- Legal business name
- Cecropia S Ballard LLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2012
- Last updated
- Aug 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | SW7996 | FL | Yes |
| 302R00000X | Health Maintenance Organization | SW7996 | FL | |
| 310400000X | Assisted Living Facility | SW7996 | FL |
Practice location
1891 Myrick RdTallahassee, FL 32303-4335
Phone 850-766-8286
Mailing address
1891 Myrick RdTallahassee, FL 32303-4335
Phone 850-766-8286
Authorized official
Cecropia Ballard
Executive Director
8505770208
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