Organization
MLCKM, LLC
Active
Other names
Harbor Oaks Golden Years
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA PTAK (OWNER/ADMINISTRATOR)
(386) 767-1613
Entity
Organization
Contact information
Practice address
158 FARMBROOK RD, PORT ORANGE, FL 32127-6243
(386) 767-1613
Mailing address
158 FARMBROOK RD, PORT ORANGE, FL 32127-6243
(386) 767-1613
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up