Indigo Palms at Maitland, LLC

NPI #1841474194 in Maitland, Florida

Provider Information

NPI Number
1841474194
Entity Type
Organization
Organization Name
Indigo Palms at Maitland, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 21, 2007
Last Updated
Dec 21, 2007

Practice Location

Address
740 N WYMORE RD
State
Florida
ZIP Code
32751-4237
Phone
(407) 628-0123

Authorized Official

Name
MR. RANDOLPH L KERNON II
Title
VICE PRESIDENT
Phone
(386) 257-4400

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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