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Janelle I Lopez

Assisted Living Facility in Winter Park, FL. Individual provider (NPI-1).

NPI number1164048310
StatusActive
Last updated in NPPESJul 23, 2020

Details

NPI
1164048310
Entity type
Individual (NPI-1)
Name
Janelle I Lopez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 23, 2020
Certification date
Jul 23, 2020
Last updated
Jul 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility13482FLYes

Practice location

4934 Seminole Ave
Winter Park, FL 32792-7123

Phone 407-760-3416

Mailing address

4934 Seminole Ave
Winter Park, FL 32792-7123

Phone 407-760-3416

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