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:

Primary	Code	Category/Description	State	License Number
Y	311ZA0620X	Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home	FL	6905794

Other Provider Identifiers:

Issuer	Number	State	Type
	142415700	FL	05

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