Organization
ORCHIDS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSE PAMINTUAN WAJE (OWNER ADMINISTRATOR)
(727) 230-9946
Entity
Organization
Contact information
Practice address
2690 MEADOW OAK DRIVE, CLEARWATER, FL 33761
(727) 230-9946
(727) 796-5282
Mailing address
2690 MEADOW OAK DRIVE, CLEARWATER, FL 33761
(727) 230-9946
(727) 796-5282
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
692450696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692450696
—
FL
Enumeration date
09/04/2007
Last updated
07/21/2008
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