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Organization

ALF PARADISE INC

Active
Other names
SPRINGS DAY CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HULDA ROSE GORDON-EHRENPREIS RN (CEO)
(941) 249-8787
Entity
Organization

Contact information

Practice address
866 TAMIAMI TRL, UNIT 8, PT CHARLOTTE, FL 33953-3103
(941) 249-8787
(941) 249-8744
Mailing address
866 TAMIAMI TRL, UNIT 8, PT CHARLOTTE, FL 33953-3103
(941) 249-8787
(941) 249-8744

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9334
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9334
AHCA LICENSE
FL
Enumeration date
01/31/2016
Last updated
01/31/2016
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