Eddrena Thornton, OWNER
Eddrena Thornton, OWNER is an Adult Care Home Facility in Bartow, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
2233 Bluebird AveBartow, FL 33830-2953
Phone: (863) 529-3103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 6907032 (FL) |
|---|
Record details
| NPI number | 1336747658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2020 |
| Last updated in NPPES | October 10, 2020 |
| Certification date | October 10, 2020 |
| Mailing address | 2233 Bluebird Ave, Bartow, FL 33830-2953 |
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