| NPI | 1326447368 |
|---|---|
| Doing Business As | ELLA'S PLACE |
| Entity Type | Organization |
| Authorized Contact | CELESTE HAMILTON Administrator 863-496-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12187) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: FL 12187) |
| 311Z00000X Custodial Care Facility (Licence: FL 12187) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 12187) | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2021-05-26 |