MEDICARE: COLLEEN BARBIER ADULT FAMILY CARE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1366018939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLEEN BARBIER ADULT FAMILY CARE HOME

Provider Business Mailing Address
First Line	:	1397 W 35TH ST
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-2919
Country	:	US
Telephone Number	:	561-412-5898
Fax Number	:	561-855-6921

Provider Business Practice Location Address
First Line	:	1397 W 35TH ST
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-2919
Country	:	US
Telephone Number	:	561-412-5898
Fax Number	:	561-855-6921

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. COLLEEN KITTY BARBIER
Credential	:
Telephone Number	:	954-736-6581

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	06/03/2021

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