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CARMEN PONCE

Adult Care Home

Orlando, Florida

Provider NPI: 1992914634

Provider Information:
 CARMEN  PONCE 


Practice Location:
7224 JAFFERY CT  ORLANDO, FL 32835 US
Tel: 407-822-5330  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
FL6905794

Other Provider Identifiers:

IssuerNumberStateType
142415700FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS FL - Page 1



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