JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Assisted Living Facility
Orange City, Florida
Provider NPI: 1124011770
Organization Information:Organization Name: JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Practice Location:
901 VETERANS MEMORIAL PARKWAY ORANGE CITY, FL 32763 US
Tel: 386-775-3840 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:
901 VETERANS MEMORIAL PARKWAY ORANGE CITY, FL 32763 US
Tel: 386-775-3840 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 251E00000X | Agencies Home Health | FL | HHA20602096 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL5177 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF12590961 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
026900000 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin