Organization
EL SHADDAI CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YDOPCENE ESTERIL (VICE PRESIDENT)
(321) 368-0216
Entity
Organization
Contact information
Practice address
5325 RENOIR DR, ORLANDO, FL 32818-1372
(321) 368-0216
Mailing address
5325 RENOIR DR, ORLANDO, FL 32818-1372
(321) 368-0216
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/22/2022
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