Organization
GRAND VILLA OF ALTAMONTE SPRINGS
Active
Parent organization
QSH/MID FLORIDA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QSH/MID FLORIDA, LLC
Authorized official
STANLEY BRADING (PRESIDENT)
(404) 888-0168
Entity
Organization
Contact information
Practice address
433 ORANGE DR, ALTAMONTE SPRINGS, FL 32701-5377
(407) 260-2433
Mailing address
535 N NOVA RD, ORMOND BEACH, FL 32174-4405
(404) 888-0168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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