Organization
VICTORIA'S 7TH HEAVEN. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE BRYANT BSN, RN (ADMINISTRATOR)
(407) 222-3058
Entity
Organization
Contact information
Practice address
11235 SE HIGHWAY 42, SUMMERFIELD, FL 34491-6628
(407) 906-2904
Mailing address
673 CRYSTAL BAY LN, ORLANDO, FL 32828-6660
(407) 222-3058
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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