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Organization
FOUR SEASONS ALF DBA SANFORD MANOR ALF
Active
Organization
FOUR SEASONS ALF DBA SANFORD MANOR ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARVIZ CARLOS (ADMINISTRATOR)
(407) 322-3321
Entity
Organization
Contact information
Practice address
1704 W 9TH ST, SANFORD, FL 32771-2381
(407) 322-3321
(407) 322-3324
Mailing address
1704 W 9TH ST, SANFORD, FL 32771-2381
(407) 322-3321
(407) 322-3324
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL4789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000390200
—
FL
05
—
000390700
—
FL
Enumeration date
09/20/2010
Last updated
09/20/2010
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