Organization
EVELYN'S HOME ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE WOBERAERE EJIOWHOR RN (OWNER/ADMINISTRATOR)
(407) 497-1243
Entity
Organization
Contact information
Practice address
2119 BEACON LANDING CIR, ORLANDO, FL 32824-4374
(407) 497-1243
(407) 888-9121
Mailing address
2119 BEACON LANDING CIR, ORLANDO, FL 32824-4374
(407) 497-1243
(407) 888-9121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022295400
—
FL
01
—
1396255139
NPI
—
Enumeration date
04/18/2018
Last updated
06/16/2018
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