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Organization

DR. PHILLIPS RESIDENTIAL LIVING FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CORAZON CELESTINO (OWNER/ADMINISTRATOR)
(407) 451-9929
Entity
Organization

Contact information

Practice address
6311 VINELAND RD, ORLANDO, FL 32819-7811
(407) 226-3686
(407) 226-3686
Mailing address
6311 VINELAND ROAD, ORLANDO, FL 32819
(407) 226-3686
(407) 226-3686

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11921
FL

Other

Enumeration date
04/03/2013
Last updated
04/03/2013
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