Provider Demographics
NPI:1477690857
Name:SPOLI INVESTMENTS INC
Entity Type:Organization
Organization Name:SPOLI INVESTMENTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAGGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-258-8789
Mailing Address - Street 1:1157 JOHN ANDERSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-4173
Mailing Address - Country:US
Mailing Address - Phone:386-441-6045
Mailing Address - Fax:386-274-4557
Practice Address - Street 1:1157 JOHN ANDERSON DR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-4173
Practice Address - Country:US
Practice Address - Phone:386-441-6049
Practice Address - Fax:386-247-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL676245096313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility