DONEGAN SQUARE HEALTH CARE ASSOCIATES LLC
Assisted Living Facility
Kissimmee, Florida
Provider NPI: 1548207459
Organization Information:Organization Name: DONEGAN SQUARE HEALTH CARE ASSOCIATES LLC
Practice Location:
1092 W DONEGAN AVE KISSIMMEE, FL 34741 US
Tel: 407-846-8520 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1092 W DONEGAN AVE KISSIMMEE, FL 34741 US
Tel: 407-846-8520 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL5527 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
683884700 | FL | 05 | |
141700200 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin