Organization
ELITE MANOR - KISSIMMEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARDA SUKHU-GAFOOR (ADMINISTRATOR)
(646) 610-9621
Entity
Organization
Contact information
Practice address
4034 SUNNY DAY WAY, KISSIMMEE, FL 34744-9152
(646) 610-9621
(407) 286-6363
Mailing address
4034 SUNNY DAY WAY, KISSIMMEE, FL 34744-9152
(646) 610-9621
(407) 286-6363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12424
FL
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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