NPI 1205178258

Patricia's Rock

Organisation Voluntary or Charitable Agency Orlando, FL

Practice location

Address: 750 S Orange Blossom Trl, Orlando, FL 32805-3118
Phone: (407) 758-4910
Mailing address: 4325 Fountainview Ln #5102, Orlando, FL 32808-1198

Authorised official

Name: De Lisa Bonaparte
Title: D/P
Phone: (904) 566-1975

Registered specialties (2)

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1205178258
Entity type: Organization
NPI issued: 17 Mar 2013
Record last updated: 19 Mar 2013

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.