Organization
DIVINE MANOR ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE MCDANIEL (DIRECTOR)
(301) 651-4037
Entity
Organization
Contact information
Practice address
1694 NEPTUNE RD, KISSIMMEE, FL 34744-4741
(407) 777-6035
Mailing address
533 E CITRUS ST, ALTAMONTE SPRINGS, FL 32701-2614
(301) 651-4037
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/28/2022
Last updated
07/13/2022
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