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Organization
AGING SERVICES
Active
Organization
AGING SERVICES
Active
Parent organization
FORMAL FINESSE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORMAL FINESSE INC
Authorized official
FRITZIE CENATUS RN, MED (ADMINISTRATOR)
(321) 437-7033
Entity
Organization
Contact information
Practice address
241 RUBY AVE STE 202, KISSIMMEE, FL 34741-5627
(321) 414-2587
Mailing address
241 RUBY AVE STE 202, KISSIMMEE, FL 34741-5627
(321) 414-2587
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
332U00000X
Home Delivered Meals
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
04/29/2019
Last updated
05/19/2022
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