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Organization

ELLIE'S ALF OF EUSTIS

Active
Other names
Henderson House
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GENA ACKBERSINGH (ADMINISTRATOR)
(954) 881-3703
Entity
Organization

Contact information

Practice address
907 E ORANGE AVE, EUSTIS, FL 32726-6249
(954) 881-3703
(352) 357-2375
Mailing address
907 E ORANGE AVE, EUSTIS, FL 32726-6249
(954) 881-3703
(352) 357-2375

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6622

Other

Enumeration date
09/14/2017
Last updated
07/21/2022
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