# AGING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FORMAL FINESSE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497319156
- **Legal business name:** FORMAL FINESSE INC
- **Authorized official:** FRITZIE CENATUS RN, MED (ADMINISTRATOR)
- **Authorized official phone:** (321) 437-7033

## Contact information

- **Practice address:** 241 RUBY AVE STE 202, KISSIMMEE, FL 34741-5627
- **Practice address phone:** (321) 414-2587
- **Mailing address:** 241 RUBY AVE STE 202, KISSIMMEE, FL 34741-5627
- **Mailing address phone:** (321) 414-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 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