Provider Demographics
NPI:1508281171
Name:NAKOS INC.
Entity Type:Organization
Organization Name:NAKOS INC.
Other - Org Name:DUEY'S PLACE ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ORPHA
Authorized Official - Middle Name:ALE
Authorized Official - Last Name:MINEQUE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN,CCRN
Authorized Official - Phone:727-460-1727
Mailing Address - Street 1:6285 71ST ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-4833
Mailing Address - Country:US
Mailing Address - Phone:727-460-1727
Mailing Address - Fax:
Practice Address - Street 1:6285 71ST ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-4833
Practice Address - Country:US
Practice Address - Phone:727-460-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7122310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility