Organization
SILVER LINING AT GRANADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERON BRYAN-JOSEPH (OWNER)
(917) 755-5185
Entity
Organization
Contact information
Practice address
2151 GRANADA BLVD, KISSIMMEE, FL 34746-3685
(407) 201-8634
Mailing address
2151 GRANADA BLVD, KISSIMMEE, FL 34746-3685
(407) 201-8634
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AL12486
FL
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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