BILL'S PLACE
Adult Care Home
Middleburg, Florida
Provider NPI: 1578726964
Organization Information:Organization Name: BILL'S PLACE
Practice Location:
4860 CHICKPEA ST MIDDLEBURG, FL 32068 US
Tel: 904-291-1962 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4860 CHICKPEA ST MIDDLEBURG, FL 32068 US
Tel: 904-291-1962 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | FL | 6905291 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
141503400 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin