Clara Ferguson I

NPI #1366866097 in Lake City, Florida

Provider Information

NPI Number
1366866097
Entity Type
Individual
Name
Clara Ferguson I
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 17, 2014
Last Updated
Feb 17, 2014

Practice Location

Address
184 SE BEECH ST
State
Florida
ZIP Code
32025-4982
Phone
(615) 974-9714

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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