Varnum, Ruby Lee
Varnum, Ruby Lee is an sole proprietor health care provider with primary practice located at 12167 Nw Freeman Rd , Bristol FL 32321. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Varnum, Ruby Lee can be contacted via phone (850) 643-5155.Contact Information
Primary practice address
12167 Nw Freeman Rd
Bristol FL 32321
Phone: (850) 643-5155
Fax: (850) 643-3721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL6026 | Florida |
Profile Details
| NPI number | 1538400072 |
|---|---|
| LBN Legal business name | Varnum, Ruby Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2013 |
| Last updated | Mar 8th, 2013 - about 13 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 | 1538400072 | NPPES |
| Florida | MEDICAID | 140029100 | |
| Florida | MEDICAID | 679025900 |
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