Organization
MOTT FOSTER HOME (ALF)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ALICA MOTT (OWNER)
(407) 886-7005
Entity
Organization
Contact information
Practice address
1746 S WASHINGTON AVE, APOPKA, FL 32703-7518
(407) 886-7005
(407) 886-7005
Mailing address
1746 S WASHINGTON AVE, APOPKA, FL 32703-7518
(407) 886-7005
(407) 886-7005
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL5053
FL
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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