Provider Demographics
NPI:1801211339
Name:MANILA HOME CARE INC.
Entity Type:Organization
Organization Name:MANILA HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLINO
Authorized Official - Middle Name:ARTATES
Authorized Official - Last Name:FLORDELIZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:386-492-4119
Mailing Address - Street 1:799 PHEASANT RUN CT
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-1131
Mailing Address - Country:US
Mailing Address - Phone:386-492-4119
Mailing Address - Fax:
Practice Address - Street 1:799 PHEASANT RUN CT
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-1131
Practice Address - Country:US
Practice Address - Phone:386-492-4119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9251310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility