A Place For Mimi LLC
Custodial Care Facility, Adult Care Home in Orlando, FL. Organization (NPI-2).
NPI number1720971567
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1720971567
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place For Mimi LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2025
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 305S00000X | Point of Service | – | – |
Other names
- Ania Telleria Adult Family Care Home (Other Name)
Practice location
15267 Perdido DrOrlando, FL 32828-5232
Phone 321-413-7105
Mailing address
15267 Perdido DrOrlando, FL 32828-5232
Phone 321-413-7105
Authorized official
Ania Telleria
Owner
4075351408
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