Provider Demographics
NPI:1073790606
Name:ADELCARE
Entity Type:Organization
Organization Name:ADELCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ADELAIDA
Authorized Official - Last Name:SANTOS-FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-719-2832
Mailing Address - Street 1:9715 HOLLYHILL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-9506
Mailing Address - Country:US
Mailing Address - Phone:407-719-2832
Mailing Address - Fax:407-850-0301
Practice Address - Street 1:9715 HOLLYHILL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-9506
Practice Address - Country:US
Practice Address - Phone:407-719-2832
Practice Address - Fax:407-850-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health