Organization
ORLANDO LUTHERAN TOWERS INC
Active
Other names
COMMONS AT ORLANDO LUTHERAN TOWERS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA MARIE LABRECQUE RPT, NHA (CEO)
(407) 466-4383
Entity
Organization
Contact information
Practice address
210 LAKE AVE, ORLANDO, FL 32801-3560
(407) 872-7088
(407) 206-2388
Mailing address
300 E CHURCH ST, ORLANDO, FL 32801-3544
(407) 872-7088
(407) 206-2388
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL11438
FL
310400000X
Assisted Living Facility
AL5267
FL
314000000X
Skilled Nursing Facility
Primary
SNF1394096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020579600
—
FL
05
—
05099
—
FL
01
—
L6X
BLUE CROSS/SHIELD
FL
Enumeration date
06/30/2005
Last updated
04/09/2014
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