Adams, Shirley
Adams, Shirley is an sole proprietor health care provider with primary practice located at 611 Old Welaka Rd , Welaka FL 32193-2172. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Adams, Shirley can be contacted via phone (386) 467-2004.Contact Information
Primary practice address
611 Old Welaka Rd
Welaka FL 32193-2172
Phone: (386) 467-2004
Fax: (386) 467-9998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL5705 | Florida |
Profile Details
| NPI number | 1285970632 |
|---|---|
| LBN Legal business name | Adams, Shirley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2012 |
| Last updated | Dec 12th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285970632 | NPPES |
| Florida | MEDICAID | 686143100 | |
| Florida | MEDICAID | 140334600 |
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