# LISE'S GARDEN AFCH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639678139
- **Authorized official:** LISE I HYPPOLITE-ALPHONSE (ADMINISTRATOR)
- **Authorized official phone:** (321) 948-8533

## Contact information

- **Practice address:** 1542 PROVIDENCE CIR, ORLANDO, FL 32818-5708
- **Practice address phone:** (407) 668-4654
- **Mailing address:** 1542 PROVIDENCE CIR, ORLANDO, FL 32818-5708
- **Mailing address phone:** (407) 668-4654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906849 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 02/09/2018