Organization
PURE CARE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONILE DERIVOIS (OWNER)
(407) 495-9724
Entity
Organization
Contact information
Practice address
3152 PELL MELL DR, ORLANDO, FL 32818-2829
(407) 495-9724
Mailing address
3152 PELL MELL DR, ORLANDO, FL 32818-2829
(407) 495-9724
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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