MEDICARE: O.S.J. FAMILY PLACE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467061960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O.S.J. FAMILY PLACE

Provider Business Mailing Address
First Line	:	2636 DAYBREEZE CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-5293
Country	:	US
Telephone Number	:	407-501-1261
Fax Number	:

Provider Business Practice Location Address
First Line	:	2636 DAYBREEZE CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-5293
Country	:	US
Telephone Number	:	407-501-1261
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SYLVANIA JEAN BAPTISTE
Credential	:	ADMINISTRATOR
Telephone Number	:	407-501-1261

Provider Enumeration Date	:	07/30/2020
Last Update Date	:	01/11/2021

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Directions to “O.S.J. FAMILY PLACE ” Practice Location

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