Organization
PORTA NOVA HOMEMAKER COMPANION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBA PONCE DE LEON (OWNER/MANAGER)
(407) 595-0529
Entity
Organization
Contact information
Practice address
515 SPRING RIVER DRIVE, ORLANDO, FL 32828
(407) 595-0529
Mailing address
515 SPRING RIVER DR, ORLANDO, FL 32828-6985
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
612408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014245800
—
FL
Enumeration date
10/17/2016
Last updated
10/17/2016
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