Individual provider · Type 1 NPI

Malgorzata Ptak

Assisted Living Facility · Port Orange, FL

NPI number 1295299451 Active

Practice location

158 Farmbrook Rd
Port Orange, FL 32127-6243

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL5650 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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About NPI 1295299451

Malgorzata Ptak's National Provider Identifier is 1295299451, issued on Jan 22, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Orange, FL. The record was last updated on Jan 22, 2019.