Organization
I.P.A ASSISTED LIVING LLC
Active
Other names
Zohra Seniors Care
Organization subpart
No
Provider details
NPI number
Authorized official
TAJ RAZA (OWNER)
(407) 756-2595
Entity
Organization
Contact information
Practice address
2825 WALDENS POND CV, LONGWOOD, FL 32779-7037
(407) 756-2595
Mailing address
2825 WALDENS POND CV, LONGWOOD, FL 32779-7037
(407) 756-2595
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433800
—
FL
Enumeration date
09/13/2018
Last updated
09/13/2018
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