Organization
PONDELLA RESIDENTIAL CARE LLC
Active
Parent organization
PONDELLA SERENITY COURT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONDELLA SERENITY COURT, LLC
Authorized official
ILOMISE C ALEXANDRE (ADNMISTRATOR)
(239) 297-8839
Entity
Organization
Contact information
Practice address
1923 NE 6TH ST, CAPE CORAL, FL 33909-2271
(239) 242-0597
Mailing address
1923 NE 6TH ST, CAPE CORAL, FL 33909-2271
(239) 242-0597
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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