Organization
KNOLLWOOD MANOR ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIGDALIA MENDEZ (OWNER)
(407) 729-9679
Entity
Organization
Contact information
Practice address
1203 WINDSOR AVE, LONGWOOD, FL 32750-6244
(407) 729-9679
(407) 951-6698
Mailing address
1203 WINDSOR AVE, LONGWOOD, FL 32750-6244
(407) 729-9679
(407) 951-6698
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12576
FL
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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