Organization
FAIRVIEW MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL VICENTE MEDINA (EXECUTIVE DIRECTOR)
(407) 331-0980
Entity
Organization
Contact information
Practice address
1310 FAIRVIEW AVE, WINTER PARK, FL 32789-3647
(407) 331-0980
(407) 622-1443
Mailing address
1310 FAIRVIEW AVE, WINTER PARK, FL 32789-3647
(407) 331-0980
(407) 622-1443
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12826
FL
Other
Enumeration date
02/06/2018
Last updated
06/11/2019
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