Organization
QUEEN ELAINE ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA WATTS R.N.,BSN (ADMINISTRATOR)
(407) 209-3242
Entity
Organization
Contact information
Practice address
5840 RED BUG LAKE RD STE 495, WINTER SPGS, FL 32708-5011
(407) 209-3242
Mailing address
5840 RED BUG LAKE RD STE 495, WINTER SPGS, FL 32708-5011
(407) 209-3242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12973
FL
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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