Organization
OSL OPERATING LLC
Active
Other names
Reflections Memory Care of Port Orange
Organization subpart
No
Provider details
NPI number
Authorized official
AYLA HARWOOD (COO)
(239) 292-1513
Entity
Organization
Contact information
Practice address
1321 HERBERT ST, PORT ORANGE, FL 32129-4135
(386) 310-4995
Mailing address
7015 BERACASA WAY STE 202, BOCA RATON, FL 33433-3453
(239) 292-1513
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115292000
—
FL
Enumeration date
02/21/2024
Last updated
02/21/2024
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