# JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John Knox Village of Central Florida Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346584828
- **Authorized official:** JOSEPH TRAINOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (386) 775-3840

## Contact information

- **Practice address:** 101 NORTHLAKE DR, ORANGE CITY, FL 32763-6167
- **Practice address phone:** (386) 775-3840
- **Practice address fax:** (386) 775-0456
- **Mailing address:** 101 NORTHLAKE DR, ORANGE CITY, FL 32763-6167
- **Mailing address phone:** (386) 775-3840
- **Mailing address fax:** (386) 775-0456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 20602096 | FL | Yes |

## Other

- **Enumeration date:** 11/21/2012
- **Last updated:** 08/08/2016