Organization
A NEW AGE OF SENIOR CARE AT WELLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO LUIS BORGES (ADMINISTRATOR)
(561) 847-4548
Entity
Organization
Contact information
Practice address
1074 HYACINTH PL, UNIT D, WELLINGTON, FL 33414-2144
(561) 847-4548
(800) 391-6830
Mailing address
1074 HYACINTH PL, UNIT D, WELLINGTON, FL 33414-2144
(561) 847-4548
(800) 391-6830
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11924
AHCA LICENSE NUMBER
FL
Enumeration date
05/06/2011
Last updated
05/06/2011
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