Organization
LOREY ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASCAR LORENZO (OWNWE/ADMINISTRATOR)
(407) 785-2874
Entity
Organization
Contact information
Practice address
2347 WALNUT CANYON DR, KISSIMMEE, FL 34758-1719
(407) 785-2874
Mailing address
2347 WALNUT CANYON DR, KISSIMMEE, FL 34758-1719
(407) 785-2874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13140
FL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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