YOUNG AT HEART ADULT CARE, INC.
Managed Care Organizations at Sandhill Blvd, Punta Gorda, FL

License number
Florida AL8481
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: EMMA LIPANA
Title: ADMINISTRATOR/OWNER
Phone: (941) 629-4417
Address
Address
26563 Sandhill Blvd, Punta Gorda, FL 33983
National Provider ID: 1093153504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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YOUNG AT HEART ADULT CARE, INC

26563 Sandhill Blvd, Punta Gorda, FL 33983

Registration:
Feb 14, 1995
State ID:
P95000013118
Business type:
Florida Profit Corporation
S:
Eleuterio A Lipana, 26563 Sandhill Blvd, Punta Gorda, FL 33983 (Physical),Emma G Lipana, 26563 Sandhill Blvd, Punta Gorda, FL 33983 (Physical)
Agent:
Emma Lipana,26563 Sandhill Blvd, Punta Gorda, FL 33983 (Physical)
FEI/EIN:
650556988

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