NPI 1881019578

A.I.D.3

Organisation Nursing Care Agency Winter Park, FL

Practice location

Address: 2443 Lee Rd, Winter Park, FL 32789-1755
Phone: (321) 441-3695
Fax: (407) 960-3946

Authorised official

Name: Fenna E. Bacchus
Title: Administrator
Phone: (321) 441-3695

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 4326 (FL)

Other Nursing Care providers in Florida →

Registry record

NPI: 1881019578
Entity type: Organization
NPI issued: 4 Mar 2014
Record last updated: 4 Mar 2014

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.