Organization
SEBRING SENIOR CARE, LLC
Active
Other names
Palms of Sebring
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN B AUSTIN LNHA (EXECUTIVE DIRECTOR)
(863) 402-4703
Entity
Organization
Contact information
Practice address
725 S PINE ST, SEBRING, FL 33870-3654
(863) 385-0161
(863) 385-2385
Mailing address
725 S PINE ST, SEBRING, FL 33870-3654
(863) 385-0161
(863) 385-2385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL4693
FL
314000000X
Skilled Nursing Facility
Primary
SNF14250962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025267100
—
FL
01
—
684654800
MEDICAID WAIVER
FL
Enumeration date
06/14/2005
Last updated
07/02/2012
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