Gray-Leslie Rowena

NPI #1700232139 in Yalaha, Florida

Provider Information

NPI Number
1700232139
Entity Type
Organization
Organization Name
Gray-Leslie Rowena
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
May 4, 2016
Last Updated
May 4, 2016

Practice Location

Address
27409 HAMMOCK VIEW CT
City
Yalaha
State
Florida
ZIP Code
34797-3093
Phone
(443) 801-8492

Authorized Official

Name
ROWENA M GRAY-LESLIE
Title
OWNER
Phone
(443) 801-8492

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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