Individual
MS. NENILLA F. LAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 GULF RD, TARPON SPRINGS, FL 34689-2532
(727) 938-0973
(727) 938-0973
Mailing address
1012 GULF RD, TARPON SPRINGS, FL 34689-2532
(727) 938-0973
(727) 938-0973
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140789900
—
FL
01
—
AL7977
AHCA LICENSE
FL
Enumeration date
09/11/2013
Last updated
09/11/2013
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