Organization
SANTOS, MIRTHA D
Active
Other names
Mirtha DSantos
Organization subpart
No
Provider details
NPI number
Authorized official
MIRTHA D SANTOS (ADMINISTRATOR)
(407) 862-9202
Entity
Organization
Contact information
Practice address
3220 CHADWICK RD, APOPKA, FL 32703-6007
(407) 862-9202
Mailing address
3220 CHADWICK RD, APOPKA, FL 32703-6007
(407) 862-9202
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002219600
—
FL
Enumeration date
05/14/2013
Last updated
05/14/2013
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