Organization
IMMACULEE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMMACULEE DORVILLE (OWNER)
(407) 496-4316
Entity
Organization
Contact information
Practice address
5758 OAK HILL MANOR DR, ORLANDO, FL 32839-3750
(407) 496-4316
(407) 203-8336
Mailing address
5758 OAK HILL MANOR DR, ORLANDO, FL 32839-3750
(407) 496-4316
(407) 203-8336
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12912
FL
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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