Organization
ERNIE'S ASSISTED LIVING FACILITY II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERNESTINE CORDIS RN (RN ADMINISTRATOR)
(407) 859-7274
Entity
Organization
Contact information
Practice address
12045 AGANA ST, ORLANDO, FL 32837-9554
(407) 859-7274
(407) 854-3950
Mailing address
12045 AGANA ST, ORLANDO, FL 32837-9554
(407) 859-7274
(407) 854-3950
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1991312
FL
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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