Organization
ANALINE, INC
Active
Other names
SENDER RETREAT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA ROSA RANDOLPH M.S, R.D., L.D. (ADMINISTRATOR)
(386) 734-4442
Entity
Organization
Contact information
Practice address
1515 COVERED BRIDGE DR, DELAND, FL 32724-7990
(386) 734-4442
(386) 734-4153
Mailing address
1515 COVERED BRIDGE DR, DELAND, FL 32724-7990
(386) 734-4442
(386) 734-4153
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686574700
—
FL
Enumeration date
12/09/2008
Last updated
06/26/2024
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