Organization
A PLACE FOR MIMI LLC
Active
Other names
Ania Telleria Adult Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
ANIA TELLERIA (OWNER)
(407) 535-1408
Entity
Organization
Contact information
Practice address
15267 PERDIDO DR, ORLANDO, FL 32828-5232
(321) 413-7105
Mailing address
15267 PERDIDO DR, ORLANDO, FL 32828-5232
(321) 413-7105
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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