SEBRING SENIOR CARE, LLC
Assisted Living Facility
Sebring, Florida
Provider NPI: 1760487029
Organization Information:Organization Name: SEBRING SENIOR CARE, LLC
Practice Location:
725 S PINE ST SEBRING, FL 33870 US
Tel: 863-385-0161 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:
725 S PINE ST SEBRING, FL 33870 US
Tel: 863-385-0161 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL4693 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF14250962 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICAID WAIVER | 684654800 | FL | 01 |
025267100 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin