Ancona Ltd., INC. Dba Harbor Oaks Elderly Care Home
Assisted Living Facility in Port Orange, FL. Organization (NPI-2).
NPI number1306180336
StatusActive
Last updated in NPPESNov 15, 2012
Details
- NPI
- 1306180336
- Entity type
- Organization (NPI-2)
- Legal business name
- Ancona Ltd., INC. Dba Harbor Oaks Elderly Care Home
- Organization subpart
- No
- Enumeration date
- Nov 15, 2012
- Last updated
- Nov 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL5650 | FL | Yes |
Practice location
158 Farmbrook RdPort Orange, FL 32127-6243
Phone 386-767-1613
Mailing address
158 Farmbrook RdPort Orange, FL 32127-6243
Phone 386-767-1613
Authorized official
Ida Ancona
Administrator/Secretary/Treasurer
3867671613
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