Organization
EXCEL HOSPITALITY GROUP, LLC
Active
Other names
Regency Park Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRUM PATEL M.D. (MANAGING PARTNER)
(321) 662-1017
Entity
Organization
Contact information
Practice address
15000 N HIGHWAY 441, EUSTIS, FL 32726-6589
(352) 609-2040
(352) 609-2041
Mailing address
15000 N HIGHWAY 441, EUSTIS, FL 32726-6589
(352) 609-2040
(352) 609-2041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL17250
FL
311500000X
Alzheimer Center (Dementia Center)
AL17250
FL
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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