Organization
ALTA HEALTHCARE GROUP, INC
Active
Other names
Alta Healthcare @ Deerwood
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT GREE (ADMINISTRATOR)
(407) 435-2402
Entity
Organization
Contact information
Practice address
122 N DEERWOOD AVE, ORLANDO, FL 32825-3754
(407) 435-2402
(407) 695-7720
Mailing address
4279 FOX HOLLOW CIR, CASSELBERRY, FL 32707-5240
(407) 435-2402
(407) 695-7720
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688818600
—
FL
Enumeration date
09/09/2010
Last updated
09/09/2010
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