La Madone Registry INC

NPI #1881921518 in Lake Mary, Florida

Provider Information

NPI Number: 1881921518
Entity Type: Organization
Organization Name: La Madone Registry INC
Primary Specialty: Home Health
Enumeration Date: Nov 18, 2009
Last Updated: Nov 18, 2009

Practice Location

Address: 801 INTERNATIONAL PKWY STE 500
City: Lake Mary
State: Florida
ZIP Code: 32746-4763
Phone: (407) 585-2040

Authorized Official

Name: MRS. ODETTE CONSTANT
Title: ADMINISTRATOR
Phone: (407) 585-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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