Organization
MEMORY LANE COTTAGE AT OVIEDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JEAN IRISH CORE (EXECUTIVE DIRECTOR)
(813) 428-3350
Entity
Organization
Contact information
Practice address
450 OVIEDO BLVD, OVIEDO, FL 32765-3508
(407) 366-2770
Mailing address
999 PONCE DE LEON BLVD STE 950, CORAL GABLES, FL 33134-3047
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
11/18/2024
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