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.
Location: 1401 Dixie Way, Sanford, FL, 32771-3034
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
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720418635 | 05 | FL |
Provider Business Practice Location Address Details
Address
1401 Dixie Way
City
State
Zip
32771-3034
Phone Number
407-415-5064
Fax Number
Provider Business Mailing Address Details
Address
1401 Dixie Way
City
State
Zip
32771-3034
Phone Number
407-415-5064
Fax Number
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
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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