Organization
IONIE'S ASSISTED LIVING II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J PENNANT (OWNER)
(407) 296-7163
Entity
Organization
Contact information
Practice address
3120 HAMMERSMITH RD, ORLANDO, FL 32818-3073
(407) 296-7163
(866) 768-4105
Mailing address
3120 HAMMERSMITH RD, ORLANDO, FL 32818-3073
(407) 296-7163
(866) 768-4105
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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