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Organization

DR. PHILLIPS ASSISTED LIVING FACILITY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIVINA A CABANAYAN RN (OWNER & ADMINISTRATOR)
(407) 929-4239
Entity
Organization

Contact information

Practice address
5412 PALM LAKE CIR, ORLANDO, FL 32819-3905
(407) 929-4239
(407) 298-6288
Mailing address
5412 PALM LAKE CIR, ORLANDO, FL 32819-3905
(407) 929-4239
(407) 298-6288

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10574
FL

Other

Enumeration date
04/10/2013
Last updated
04/10/2013
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