SEGULAH, INC.
Residential Treatment Facilities at Country Side Dr, Apopka, FL

License number
Florida PT5636
Category
Agencies
Type
Home Health
License number
Florida PT5636
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Physical Disabilities
Owner
Name: ERNESTO MARIQUIT RPT
Title: OWNER/PRESIDENT
Phone: (321) 229-4168
Address
Address
2107 Country Side Dr, Apopka, FL 32712
National Provider ID: 1912308966
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SEGULAH INC

Apopka, FL

Industry:
Real Estate Agent/Manager
Registration:
Mar 27, 2003
Addresses:
2107 Countryside Dr, Apopka, FL 32712 (Physical)
2107 Country Side Dr, Apopka, FL 32712 (Mailing)
State ID:
P03000037123
Business type:
Florida Profit Corporation
President, Director:
Ernesto Mariquit (President, Director), 2107 Country Side Dr, Apopka, FL 32712 (Physical)
Agent:
Mariquit, Ernesto,2107 Country Side Dr, Apopka, FL 32712 (Physical)
EIN:
91-2191912

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