Organization
CARMITA'S ASSISTING LIVING FACILITY III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS PRIETO (OWNER)
(407) 432-6785
Entity
Organization
Contact information
Practice address
939 PARK MANOR DR, ORLANDO, FL 32825-6744
(407) 432-6785
(407) 897-7452
Mailing address
939 PARK MANOR DR, ORLANDO, FL 32825-6744
(407) 432-6785
(407) 897-7452
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008511900
—
FL
Enumeration date
09/02/2015
Last updated
09/02/2015
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