LAKE ALFRED ASSISTED LIVING AND RETIREMENT HOME, INC.
Nursing at Archer Ave, Orlando, FL

License number
Florida AL10511
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. ARNULFO SALGADO SIMONDAC
Title: PRESIDENT/ADMINISTRATOR
Phone: (863) 956-8831
Address
Address 2
3101 Archer Ave, Orlando, FL 32833
350 W Haines Blvd, Lake Alfred, FL 33850
National Provider ID: 1598943607
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAKE ALFRED ASSISTED LIVING & RETIREMENT HOME, INC

Lake Alfred, FL  -  Orlando, FL

Status:
Inactive
Inactive reason:
Amendment
Registration:
Jun 11, 2007
Inactive since:
Jan 4, 2011
Addresses:
350 W Haines Blvd, Lake Alfred, FL 33850 (Physical)
18321 Robertson St, Orlando, FL 32833 (Mailing)
3101 Archer Ave, Orlando, FL 32833
2332 Amberly Ave, Orlando, FL 32833
State ID:
P07000074360
Business type:
Florida Profit Corporation
Directors:
Rolando Gandola (Vice President, Director), 18321 Robertson St, Orlando, FL 32833 (Physical),Rapunzel Gandola (Director, President), 18321 Robertson St, Orlando, FL 32833 (Physical),Lenee Simondac Director, inactive,...
Agent:
Gandola, Rolando,18321 Robertson St, Orlando, FL 32833 (Physical)
EIN:
260436942

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