MRS. PAULETTE C WALKER-SLATER
Adult Care Home
Thonotosassa, Florida
Provider NPI: 1538393749
Provider Information:MRS. PAULETTE C WALKER-SLATER
Practice Location:
10122 TIMMONS RD THONOTOSASSA, FL 33592 US
Tel: 813-986-1011 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 | 6906200 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000015100 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin