# SANTOS, MIRTHA D

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mirtha DSantos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598101875
- **Authorized official:** MIRTHA D SANTOS (ADMINISTRATOR)
- **Authorized official phone:** (407) 862-9202

## Contact information

- **Practice address:** 3220 CHADWICK RD, APOPKA, FL 32703-6007
- **Practice address phone:** (407) 862-9202
- **Mailing address:** 3220 CHADWICK RD, APOPKA, FL 32703-6007
- **Mailing address phone:** (407) 862-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906462 | FL | Yes |

## Other

- **Enumeration date:** 05/14/2013
- **Last updated:** 05/14/2013