Organization
ADVOCATE DEVELOPMENTAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMONE LOWMAN REGISTERED NURSE (OWNER AND OPERATOR)
(407) 937-9308
Entity
Organization
Contact information
Practice address
7050 HOLLY ST, MOUNT DORA, FL 32757-7413
(407) 937-9308
Mailing address
PO BOX 1113, ZELLWOOD, FL 32798-1113
(407) 937-9308
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100913100
—
FL
Enumeration date
01/03/2020
Last updated
01/03/2020
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