NPI 1023740172

Divine Manor Assisted Living Facility INC

Organisation Assisted Living Facility Kissimmee, FL

Practice location

Address: 1694 Neptune Rd, Kissimmee, FL 34744-4741
Phone: (407) 777-6035
Mailing address: 533 E Citrus St, Altamonte Springs, FL 32701-2614

Authorised official

Name: Nadine McDaniel
Title: Director
Phone: (301) 651-4037

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1023740172
Entity type: Organization
NPI issued: 28 Jun 2022
Record last updated: 13 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.