Organization
POINCIANA PERSONAL CARE & COMPANION SERVICES
Active
Organization
POINCIANA PERSONAL CARE & COMPANION SERVICES
Active
Other names
Poinciana Companion Services
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR L RODRIGUEZ JR. BS (OFFICES MANAGER)
(407) 350-4138
Entity
Organization
Contact information
Practice address
10 S ORLANDO AVE, KISSIMMEE, FL 34741-5674
(407) 350-4138
(321) 250-7463
Mailing address
PO BOX 452848, KISSIMMEE, FL 34745-2848
(407) 350-4138
(321) 250-7463
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022340600
—
FL
Enumeration date
09/25/2017
Last updated
07/21/2026
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