Doctor Name: | MRS. ANNETTE NADINE KING |
NPI Number: | 1134302110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AL4901 |
Business Practice Address: | 151 South Missouri St Labelle, FL - 339354958 |
Business Phone Number: | 8636753314 |
Business Fax Number: | 8636750978 |
Mailing Address: | 151 South Missouri St, LABELLE |
State: | FL |
Postal Code: | 339354958 |
Phone Number: | 8636753314 |
Fax Number: | 8636750978 |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL4901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |