Estapona Operating, LLC
Assisted Living Facility in Fern Park, FL. Organization (NPI-2).
NPI number1164064390
StatusActive
Last updated in NPPESMay 11, 2022
Details
- NPI
- 1164064390
- Entity type
- Organization (NPI-2)
- Legal business name
- Estapona Operating, LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Sep 15, 2020
- Last updated
- May 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Strive At Fern Park (Doing Business As)
Practice location
7255 Strive PlaceFern Park, FL 32730
Phone 407-848-1743
Mailing address
496 S Hunt Club BlvdApopka, FL 32703-4948
Phone 407-740-8815
Authorized official
Carrie Vick
President
4077408815
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