Organization
SA-PG-ORLANDO LLC
Active
Other names
Palm Garden of Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PALEY (CFO)
(914) 390-4363
Entity
Organization
Contact information
Practice address
654 N ECONLOCKHATCHEE TRL, ORLANDO, FL 32825-6402
(407) 273-6158
(407) 382-6654
Mailing address
654 N ECONLOCKHATCHEE TRL, ORLANDO, FL 32825-6402
(407) 273-6158
(407) 382-6654
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1412096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025730300
—
FL
Enumeration date
06/22/2005
Last updated
07/22/2008
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