Organization
SALEM AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE S DORMEVIL (OWNER/MGR)
(407) 867-9822
Entity
Organization
Contact information
Practice address
4451 OLD WINTER GARDEN RD, ORLANDO, FL 32811-4244
(407) 867-9822
Mailing address
1424 CENTER ST, OCOEE, FL 34761-4019
(407) 867-9822
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
03/16/2022
Last updated
05/07/2022
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