Organization Name: | FLORIDA PH-I, LLC |
NPI Number: | 1831433531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATTY FEKETE (ASST TREASURER/DIRECTOR OF FINANCE) |
Mailing Address: | 16 Lake Hunter Dr Lakeland |
State: | FL US |
Postal Code: | 338031297 |
Phone Number: | 8635776040 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2012 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL4790 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |