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Organization

ALTA HEALTHCARE GROUP, INC

Active
Other names
Aiden Springs
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALBERT GREEN (ADMINISTRATOR)
(407) 435-2402
Entity
Organization

Contact information

Practice address
5520 HOWELL BRANCH RD, WINTER PARK, FL 32792-9327
(407) 435-2402
(407) 695-7720
Mailing address
4279 FOX HOLLOW CIR, CASSELBERRY, FL 32707-5240
(407) 435-2402
(407) 695-7720

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8419
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
693659889
FL
Enumeration date
09/09/2010
Last updated
09/17/2010
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