Organization
KISSIMMEE ASSISTED LIVING LLC
Active
Other names
CANOPY RIDGE ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PLOTZKER (AUTHORIZED OFFICIAL)
(732) 998-6276
Entity
Organization
Contact information
Practice address
1471 SUNGATE DR, KISSIMMEE, FL 34746-6566
(407) 931-5143
Mailing address
1471 SUNGATE DR, KISSIMMEE, FL 34746-6566
(407) 931-5143
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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