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KIMBERLY INEZ ADAMS

Adult Care Home >> Custodial Care Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1053704981

Individual Registrant:
 KIMBERLY INEZ ADAMS 
Gender: F
Sole Proprietor

Location and contact information for practice:
4681 MANDOLIN LOOP  WINTER HAVEN, FL 33884-3599 US
Tel: 863-242-1743  Fax: --

Contact information for business:
4681 MANDOLIN LOOP  WINTER HAVEN, FL 33884-3599 US
Tel: 863-242-1743  Fax: --

Registration Information:
NPI: 1053704981
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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