Organization
WEST COLONIAL DRIVE OPCO LLC
Active
Other names
Aviata at Colonial Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FREUND (MANAGER)
(732) 730-7480
Entity
Organization
Contact information
Practice address
15204 W COLONIAL DR, WINTER GARDEN, FL 34787-6042
(407) 877-2394
(407) 877-6143
Mailing address
15204 W COLONIAL DR, WINTER GARDEN, FL 34787-6042
(407) 877-2394
(407) 877-6143
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
04/09/2025
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