Healthcare Provider Details

I. General information

NPI: 1508281171
Provider Name (Legal Business Name): NAKOS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2014
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6285 71ST ST N
PINELLAS PARK FL
33781-4833
US

IV. Provider business mailing address

6285 71ST ST N
PINELLAS PARK FL
33781-4833
US

V. Phone/Fax

Practice location:
  • Phone: 727-460-1727
  • Fax:
Mailing address:
  • Phone: 727-460-1727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL7122
License Number StateFL

VIII. Authorized Official

Name: MRS. ORPHA ALE MINEQUE
Title or Position: OWNER/ADMINISTRATOR
Credential: BSN,RN,CCRN
Phone: 727-460-1727