ISLF REGENTS PARK WINTER PARK LLC
Skilled Nursing Facility
Winter Park, Florida
Provider NPI: 1750385308
Organization Information:Organization Name: ISLF REGENTS PARK WINTER PARK LLC
Practice Location:
558 N SEMORAN BLVD WINTER PARK, FL 32792 US
Tel: 407-679-1515 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:
558 N SEMORAN BLVD WINTER PARK, FL 32792 US
Tel: 407-679-1515 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF1469096 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
026971900 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin