Organization
CHP YAKIMA WA TENANT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MADDRON (SR VICE PRESIDENT)
(407) 540-7652
Entity
Organization
Contact information
Practice address
450 S ORANGE AVE, ORLANDO, FL 32801-3383
(407) 540-7652
Mailing address
450 S ORANGE AVE, ORLANDO, FL 32801-3383
(407) 540-7652
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2346
WA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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