ELDERS OF MOUNT DORA LLC NPI 1255873048

NPI Information

NPI: 1255873048
Provider Name: ELDERS OF MOUNT DORA LLC

Doing Business As: RUTH D. PEJI

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6767 ROUND LAKE RD
MOUNT DORA, FL
ZIP 32757
Phone: (352) 434-7178
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ELDERS OF MOUNT DORA LLC is an assisted living facility in Mount Dora, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ELDERS OF MOUNT DORA LLC NPI is 1255873048. The provider is registered as an organization entity type.
The provider Is Doing Business As Ruth D. Peji.

The provider's business location address is:

6767 ROUND LAKE RD
MOUNT DORA, FL
ZIP 32757-636
Phone: (352) 434-7178
Fax: (407) 814-7514

The provider's authorized official is Ruth Danico Peji .
The authorized official title is Owner and has the following contact phone number (352) 434-7178.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL12840	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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