Angela Laing Anderson
Custodial Care Facility, Adult Care Home in Orlando, FL. Organization (NPI-2).
NPI number1154753697
StatusActive
Last updated in NPPESAug 7, 2013
Details
- NPI
- 1154753697
- Entity type
- Organization (NPI-2)
- Legal business name
- Angela Laing Anderson
- Organization subpart
- No
- Enumeration date
- Aug 7, 2013
- Last updated
- Aug 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906538 | FL | Yes |
Other names
- Prime Adult Care INC. (Doing Business As)
Practice location
89 Dobson StOrlando, FL 32805-1913
Phone 407-522-2711 · Fax 407-532-0237
Mailing address
89 Dobson StOrlando, FL 32805-1913
Phone 407-522-2711 · Fax 407-532-0237
Authorized official
Angela Laing Anderson
Owner
4077822343
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