Demetrius Antwan Haynes
Demetrius Antwan Haynes is an Assisted Living Facility in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
203 Tarawa StLakeland, FL 33805-2950
Phone: (646) 717-7222
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Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X (FL) |
|---|
Record details
| NPI number | 1619844800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2025 |
| Last updated in NPPES | October 21, 2025 |
| Certification date | October 21, 2025 |
| Mailing address | 203 Tarawa St, Lakeland, FL 33805-2950 |
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