Organization
433 ORANGE DRIVE, LLC
Active
Other names
Grand Villa of Altamonte Springs
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS FORTE (MANAGER)
(727) 726-3980
Entity
Organization
Contact information
Practice address
433 ORANGE DR, ALTAMONTE SPRINGS, FL 32701-5377
(407) 260-2433
Mailing address
13770 58TH ST N STE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7103
FL
311500000X
Alzheimer Center (Dementia Center)
AL7103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002973900
—
FL
Enumeration date
04/05/2013
Last updated
04/05/2013
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