EDDRENA THORNTON OWNER NPI 1336747658

NPI Information

Eddrena Thornton, OWNER is an adult care home custodial care facility in Bartow, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Eddrena Thornton, OWNER NPI is 1336747658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2233 BLUEBIRD AVE
BARTOW, FL
ZIP 33830-953
Phone: (863) 529-3103

The enumeration date for this NPI number is 10/9/2020 and was last updated on 10/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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