Queen Elaine Assisted Living Facility, LLC
NPI #1689114423 in Winter Spgs, Florida
Provider Information
- NPI Number
- 1689114423
- Entity Type
- Organization
- Organization Name
- Queen Elaine Assisted Living Facility, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 27, 2017
- Last Updated
- Feb 27, 2017
Practice Location
- Address
- 5840 RED BUG LAKE RD STE 495
- City
- Winter Spgs
- State
- Florida
- ZIP Code
- 32708-5011
- Phone
- (407) 209-3242
Authorized Official
- Name
- LANA WATTS, R.N.,BSN
- Title
- ADMINISTRATOR
- Phone
- (407) 209-3242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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