Provider Demographics
NPI:1669886305
Name:ADKORE FAMILY CARE CORP.
Entity type:Organization
Organization Name:ADKORE FAMILY CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-328-7595
Mailing Address - Street 1:1081 WP BALL BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7201
Mailing Address - Country:US
Mailing Address - Phone:407-328-7595
Mailing Address - Fax:407-328-7372
Practice Address - Street 1:1081 WP BALL BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-7201
Practice Address - Country:US
Practice Address - Phone:407-328-7595
Practice Address - Fax:407-328-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty