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Taj Raza
Adult Care Home Facility in Longwood, Florida
NPI 1841530532

Taj Raza is an Adult Care Home Facility based in Longwood, FL and is specialized in Adult Care Home. Taj Raza practices in Longwood, FL. The NPI Number for Taj Raza is 1841530532 and holds a License No. 6906510 (Florida).

The current practice location address for Taj Raza is 2825 Waldens Pond Cv, Longwood, FL and can be reached out via phone at 407-829-6666.

Location: 2825 Waldens Pond Cv, Longwood, FL, 32779-7037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841530532
Provider Name
Taj Raza
Credential
Provider Entity Type
Individual
Gender
Female
Address
2825 Waldens Pond Cv, Longwood, FL, 32779-7037
Phone Number
407-829-6666
Fax Number
Provider Enumeration Date
02/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004286200 05 FL
institution
Provider Business Practice Location Address Details
Address
2825 Waldens Pond Cv
City
Longwood
State
Florida
Zip
32779-7037
Phone Number
407-829-6666
Fax Number
person
Provider Business Mailing Address Details
Address
2825 Waldens Pond Cv
City
Longwood
State
Florida
Zip
32779-7037
Phone Number
407-829-6666
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906510 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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