Elders of Mount Dora LLC
NPI #1255873048 in Mount Dora, Florida
Provider Information
- NPI Number
- 1255873048
- Entity Type
- Organization
- Organization Name
- Elders of Mount Dora LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 9, 2016
- Last Updated
- Nov 9, 2016
Practice Location
- Address
- 6767 ROUND LAKE RD
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-9636
- Phone
- (352) 434-7178
Authorized Official
- Name
- RUTH DANICO PEJI, ADMINISTRATOR
- Title
- OWNER
- Phone
- (352) 434-7178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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