Florida Department of Veterans Affairs

NPI #1962494518 in Lake City, Florida

Provider Information

NPI Number: 1962494518
Entity Type: Organization
Organization Name: Florida Department of Veterans Affairs
Primary Specialty: Assisted Living Facility
Enumeration Date: Aug 19, 2005
Last Updated: Aug 9, 2022

Practice Location

Address: 751 SE SYCAMORE TER
City: Lake City
State: Florida
ZIP Code: 32025-6216
Phone: (386) 758-0600

Authorized Official

Name: MR. WILLIAM C PUCKETT
Title: PROGRAM DIRECTOR
Phone: (727) 518-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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