Organization
ORANGE GROVE APARTMENTS LLC
Active
Other names
Orange Grove Home1
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS SALAS RPT (DIRECTOR)
(321) 437-3550
Entity
Organization
Contact information
Practice address
8 W ORANGE ST # 101, DAVENPORT, FL 33837-4139
(321) 437-3550
Mailing address
8 W ORANGE ST # 101, DAVENPORT, FL 33837-4139
(321) 437-3550
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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