Toro12 Llc

NPI 1295148872 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1295148872
Enumeration Date 06/11/2014
Last Updated 06/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JACEK JACEK
Position OWNER
Phone (407) 593-6521
Fax
Practice Location
1117 MASSACHUSETTS AVE
SAINT CLOUD FL, 34769-3787, US
Phone (407) 593-6521
Fax
Business Location
1117 MASSACHUSETTS AVE
SAINT CLOUD FL, 34769-3787, US
Phone (407) 593-6521
Fax
Toxanomy
Taxonomy Code 320800000X
License State Florida
License Number AL245
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According to our database, Toro12 Llc NPI is 1295148872, taxonomy code is 320800000X and license number is AL245, license state is located at Florida. Toro12 Llc physically located at 1117 Massachusetts Ave, Saint Cloud FL, 34769-3787. NPI Number 1033115704 has the healthcare provider type.

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1295148872 NPI number is provided on an as is basis without warranty of any kind. 1295148872 is maintained by the National Plan & Provider Enumeration System. The contents of Toro12 Llc are for informational purposes only.