Organization
WEST ALTAMONTE OPCO, LLC
Active
Other names
West Altamonte Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW VARGHESE (MEMBER)
(917) 817-3530
Entity
Organization
Contact information
Practice address
1099 W TOWN PKWY, ALTAMONTE SPRINGS, FL 32714-3845
(407) 865-8000
(407) 865-7288
Mailing address
1099 W TOWN PKWY, ALTAMONTE SPRINGS, FL 32714-3845
(407) 865-8000
(407) 865-7288
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017096
LICENSE
FL
Enumeration date
01/26/2022
Last updated
01/26/2022
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