OrganizationActive
Adult Family Care Home
NPI 1669871083 · Adult Care Home Facility · Lake Wales, FL
Provider details
- NPI number
- 1669871083
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rhonda Richardson, Owner/Adm(863) 223-8104
- License
- 6906614 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
309 N Wetmore St
Lake Wales, FL 33853-4057
Phone: (863) 223-8104
Approximate (ZIP-level) locationGet directions
Mailing address
309 N Wetmore St
Lake Wales, FL 33853-4057
Registry dates
- Enumerated
- 2014-08-21
- Last updated
- 2014-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.