Organization
ANCONA LTD., INC. DBA HARBOR OAKS ELDERLY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA ANCONA (ADMINISTRATOR/SECRETARY/TREASURER)
(386) 767-1613
Entity
Organization
Contact information
Practice address
158 FARMBROOK RD, PORT ORANGE, FL 32127-6243
(386) 767-1613
Mailing address
158 FARMBROOK RD, PORT ORANGE, FL 32127-6243
(386) 767-1613
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5650
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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