MEDICARE: ADELCARE II, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	385HR2065X	Child Physical Disabilities Respite Care
4	376J00000X	Homemaker

General Provider Information

NPI Number	:	1083186605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADELCARE II, INC

Provider Business Mailing Address
First Line	:	3206 CONWAY RD STE 5
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-7316
Country	:	US
Telephone Number	:	407-930-6577
Fax Number	:	407-855-1885

Provider Business Practice Location Address
First Line	:	3206 CONWAY RD STE 5
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-7316
Country	:	US
Telephone Number	:	407-930-6577
Fax Number	:	407-855-1885

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JEANNETTE MAEZTU
Credential	:
Telephone Number	:	407-930-6577

Provider Enumeration Date	:	12/20/2018
Last Update Date	:	08/08/2022

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Directions to “ADELCARE II, INC ” Practice Location

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