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General NPI Number Information
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NPI Number | 1154893931
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Entity Type | Organization
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Legal Business Name | ADELCARE II, INC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 3206 CONWAY RD STE 5
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City | ORLANDO
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State | FL
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Zip | 32812-7316
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Country | US
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Telephone | 407-222-9555
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Fax | 407-855-1885
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Provider Business Mailing Address
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Address Line | 3206 CONWAY RD STE 5
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City | ORLANDO
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State | FL
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Zip | 32812-7316
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Country | US
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Telephone | 407-222-9555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEANNETTE MAEZTU
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Credential |
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Telephone | 407-930-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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