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Organization
SUMMER TIME LODGE, INC.
Active
Organization
SUMMER TIME LODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESHLEY MAY PACAMALAN (TREASURER)
(407) 645-5515
Entity
Organization
Contact information
Practice address
909 N WYMORE RD, WINTER PARK, FL 32789-1769
(407) 645-5515
Mailing address
909 N WYMORE RD, WINTER PARK, FL 32789-1769
(407) 645-5515
(407) 599-5539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140828300
—
FL
Enumeration date
08/28/2014
Last updated
08/28/2014
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