Organization
SKILLED FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN TAYLOR (OWNER)
(305) 494-4018
Entity
Organization
Contact information
Practice address
17882 GOURD NECK LOOP, WINTER GARDEN, FL 34787-3087
(305) 494-4018
Mailing address
17882 GOURD NECK LOOP, WINTER GARDEN, FL 34787-3087
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650716
—
FL
Enumeration date
10/11/2017
Last updated
10/11/2017
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