Organization
MEDICAL ALLIED NURSING ACADEMY, INC.
Active
Other names
Medical Allied Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIANA ANN BAZILE CNA (PRESIDENT /ADMINISTRATOR)
(407) 440-8696
Entity
Organization
Contact information
Practice address
750 PLAZA ORANGE BLOSSOM TRAIL, SUITE 264, ORLANDO, FL 32805
(407) 440-8696
(407) 440-8696
Mailing address
928 SPRING LAKE SQ, WINTER HAVEN, FL 33881-1352
(407) 440-8696
(407) 440-8696
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
NR 12345
—
314000000X
Skilled Nursing Facility
Primary
31400000X
FL
314000000X
Skilled Nursing Facility
—
FL
315P00000X
Intellectual Disabilities Intermediate Care Facility
P13000025575
FL
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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