Organization
PONDELLA SERENITY COURT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIAL / OR YOLETTE OSSELIN (ACCOUNTANT)
(239) 242-0597
Entity
Organization
Contact information
Practice address
1923 NE 6TH ST, CAPE CORAL, FL 33909-2271
(239) 242-0597
(239) 458-5595
Mailing address
1923 NE 6TH ST, CAPE CORAL, FL 33909-2271
(239) 242-0597
(239) 458-5595
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10725
FL
Other
Enumeration date
12/30/2006
Last updated
11/11/2010
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