Healthcare Provider Details

I. General information

NPI: 1992966576
Provider Name (Legal Business Name): ERLEES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 BEGGS RD
ORLANDO FL
32810-2714
US

IV. Provider business mailing address

4711 BEGGS RD
ORLANDO FL
32810-2714
US

V. Phone/Fax

Practice location:
  • Phone: 407-291-9911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL5825
License Number StateFL

VIII. Authorized Official

Name: MRS. ERLINDA SANTOS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 407-291-9911