Organization
SWAN AT LAKE CONWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASTER WORKU BATI (OWNER)
(407) 860-0266
Entity
Organization
Contact information
Practice address
3714 SAINT MORITZ ST, BELLE ISLE, FL 32812-1135
(407) 860-0266
Mailing address
3714 SAINT MORITZ ST, BELLE ISLE, FL 32812-1135
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
11542
FL
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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