Provider Demographics
NPI:1891340378
Name:SPIRITUAL CESTONI'S CARE CENTER
Entity Type:Organization
Organization Name:SPIRITUAL CESTONI'S CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CESTONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-248-5537
Mailing Address - Street 1:18 BURTON PL
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-9418
Mailing Address - Country:US
Mailing Address - Phone:386-248-5537
Mailing Address - Fax:386-248-5537
Practice Address - Street 1:18 BURTON PL
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-9418
Practice Address - Country:US
Practice Address - Phone:386-248-5537
Practice Address - Fax:386-248-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution