Demetrius Antwan Haynes

NPI #1619844800 in Lakeland, Florida

Provider Information

NPI Number
1619844800
Entity Type
Individual
Name
Demetrius Antwan Haynes
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 21, 2025
Last Updated
Oct 21, 2025

Practice Location

Address
203 TARAWA ST
State
Florida
ZIP Code
33805-2950
Phone
(646) 717-7222

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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