Organization
FLORIDA SENIOR HOUSING COUNCIL INC
Active
Other names
Hidden Acres Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
904 HIDDEN ACRES AVENUE, MT. PLEASENT, TN 38474-1039
(931) 379-5502
(931) 379-5504
Mailing address
925 N POINT PKWY, SUITE 440, ALPHARETTA, GA 30005-5210
(770) 619-0866
(770) 870-2892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000181
TN
332BN1400X
Nursing Facility Supplies (DME)
651
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445374
—
TN
05
—
7440341
—
TN
Enumeration date
07/07/2006
Last updated
03/16/2009
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