Organization
AGING HOME PARADISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMELYN J CAPELLAN (CEO)
(407) 201-2513
Entity
Organization
Contact information
Practice address
110 ZACALO WAY, KISSIMMEE, FL 34743-9536
(407) 201-2513
Mailing address
110 ZACALO WAY, KISSIMMEE, FL 34743-9536
(407) 201-2513
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12865
FL
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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