Organization · Type 2 NPI

Agnes Cottage LLC

Assisted Living Facility · Port Orange, FL

NPI number 1407437106 Active

Practice location

3739 Sunrise Oaks Dr
Port Orange, FL 32129-8651

Call (386) 265-4732 Map

Fax (407) 902-0121

Mailing address

10957 Ledgement Ln
Windermere, FL 34786-6423

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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.

2 other providers at this address

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About NPI 1407437106

Agnes Cottage LLC's National Provider Identifier is 1407437106, issued on Apr 15, 2021. 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 Sep 20, 2021.