Provider Demographics
NPI:1821406950
Name:FRAN'S ELDERLY CARE INC
Entity Type:Organization
Organization Name:FRAN'S ELDERLY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MILANO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:386-788-6164
Mailing Address - Street 1:5940 BOGGS FORD RD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-5880
Mailing Address - Country:US
Mailing Address - Phone:386-788-6164
Mailing Address - Fax:
Practice Address - Street 1:1309 ALCORN RD
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-5242
Practice Address - Country:US
Practice Address - Phone:386-760-3685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9589310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN