Organization
SOUTHFORK SENIOR CARE, LLC
Active
Other names
Orchard Park of Southfork
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SNOW (VICE PRESIDENT)
(407) 999-2410
Entity
Organization
Contact information
Practice address
3151 SOUTHFORK PKWY, MANVEL, TX 77578-1521
(713) 960-4727
Mailing address
1000 LEGION PL STE 1600, ORLANDO, FL 32801-1060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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