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Malgorzata Ptak
Assisted Living Facility in Port Orange, Florida
NPI 1295299451

Malgorzata Ptak is an Assisted Living Facility based in Port Orange, FL. Malgorzata Ptak practices in Port Orange, FL. The NPI Number for Malgorzata Ptak is 1295299451 and holds a License No. AL5650 (Florida).

The current practice location address for Malgorzata Ptak is 158 Farmbrook Rd, Port Orange, FL and can be reached out via phone at 386-767-1613.

Location: 158 Farmbrook Rd, Port Orange, FL, 32127-6243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295299451
Provider Name
Malgorzata Ptak
Credential
Provider Entity Type
Individual
Gender
Female
Address
158 Farmbrook Rd, Port Orange, FL, 32127-6243
Phone Number
386-767-1613
Fax Number
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
158 Farmbrook Rd
City
Port Orange
State
Florida
Zip
32127-6243
Phone Number
386-767-1613
Fax Number
person
Provider Business Mailing Address Details
Address
158 Farmbrook Rd
City
Port Orange
State
Florida
Zip
32127-6243
Phone Number
386-767-1613
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL5650 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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