Organization
LA POINCIANA ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMELLE LAPORTE NURSE (OWNER / ADMINISTRATOR)
(386) 310-4558
Entity
Organization
Contact information
Practice address
200 POINCIANA AVE, PORT ORANGE, FL 32127-6318
(386) 310-4558
(386) 304-2115
Mailing address
200 POINCIANA AVE, PORT ORANGE, FL 32127-6318
(386) 310-4558
(386) 304-2115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
03/18/2015
Last updated
07/21/2022
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