Christmas Community Residential Home

NPI #1568787521 in Alva, Florida

Provider Information

NPI Number
1568787521
Entity Type
Organization
Organization Name
Christmas Community Residential Home
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 2, 2010
Last Updated
Apr 2, 2010

Practice Location

Address
16691 1ST ST
City
Alva
State
Florida
ZIP Code
33920-4119
Phone
(239) 728-3998

Authorized Official

Name
MR. WILLIE LEE CHRISTMAS
Title
OWNER/OPERATOR
Phone
(239) 440-1469

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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