ORLANDO LUTHERAN TOWERS INC
Assisted Living Facility
Orlando, Florida
Provider NPI: 1508863911
Organization Information:Organization Name: ORLANDO LUTHERAN TOWERS INC
Practice Location:
210 LAKE AVE ORLANDO, FL 32801 US
Tel: 407-872-7088 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:
210 LAKE AVE ORLANDO, FL 32801 US
Tel: 407-872-7088 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL11438 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL5267 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF1394096 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS/SHIELD | L6X | FL | 01 |
020579600 | FL | 05 | |
05099 | FL | 05 | |
BLUE CROSS BLUE SHIELD | L6X | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin