Organization
THE ISLANDS ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BENECIA BAGUHIN MANALO R.N. (ADMINISTRATOR)
(407) 523-3000
Entity
Organization
Contact information
Practice address
901 N HIAWASSEE RD, ORLANDO, FL 32818-6708
(407) 523-3000
(407) 523-3008
Mailing address
10635 VIA DEL SOL, ORLANDO, FL 32817-3369
(407) 523-3000
(407) 523-3008
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AL4690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140439300
—
FL
05
—
676064300
—
FL
Enumeration date
01/30/2014
Last updated
01/30/2014
Update your record
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