T J Smith and D Goodrich Center LLC

NPI #1740977594 in Winter Haven, Florida

Provider Information

NPI Number
1740977594
Entity Type
Organization
Organization Name
T J Smith and D Goodrich Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
T J SMITH AND D GOODRICH CENTER LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 21, 2023
Last Updated
Apr 21, 2023

Practice Location

Address
507 AVENUE J NW
State
Florida
ZIP Code
33881-4047
Phone
(863) 224-7886

Authorized Official

Name
MRS. CHARLENA S LATTIMORE
Title
ADMINISTRATOR
Phone
(863) 224-7886

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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