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Organization

PRESTIGE CARE ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA VENORD DORVAL (OWNER)
(321) 947-6372
Entity
Organization

Contact information

Practice address
4019 WENDY DR, ORLANDO, FL 32808-1832
(321) 947-6372
Mailing address
4019 WENDY DR, ORLANDO, FL 32808-1832
(321) 947-6372

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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