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Peter Etoh
Assisted Living Facility in Sanford, Florida
NPI 1588180830

Peter Etoh is an Assisted Living Facility based in Sanford, FL. Peter Etoh practices in Sanford, FL. The NPI Number for Peter Etoh is 1588180830 and holds a License No. 13040 (Florida).

The current practice location address for Peter Etoh is 1401 Dixie Way, Sanford, FL and can be reached out via phone at 407-415-5064. You can also correspond with Peter Etoh through the mailing address at 1401 DIXIE WAY, SANFORD, FL - 32771-3034 (mailing address contact number: ).

Location: 1401 Dixie Way, Sanford, FL, 32771-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588180830
Provider Name
Peter Etoh
Credential
Provider Entity Type
Individual
Gender
Male
Address
1401 Dixie Way, Sanford, FL, 32771-3034
Phone Number
407-415-5064
Fax Number
Provider Enumeration Date
08/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720418635 05 FL
institution
Provider Business Practice Location Address Details
Address
1401 Dixie Way
City
Sanford
State
Florida
Zip
32771-3034
Phone Number
407-415-5064
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Dixie Way
City
Sanford
State
Florida
Zip
32771-3034
Phone Number
407-415-5064
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
13040 (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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