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NPI Code Detail

MEDICARE: WINTER GARDEN HEALTH CARE ASSOCIATES LLC

MEDICARE: WINTER GARDEN HEALTH CARE ASSOCIATES LLC
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
1314000000XSkilled Nursing FacilitySNF1610096FL

Other Identifiers

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

General Provider Information

NPI Number : 1942255971
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINTER GARDEN HEALTH CARE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 15204 W COLONIAL DR
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-6042
Country : US
Telephone Number : 407-877-2394
Fax Number : 407-877-6143
Provider Business Practice Location Address
First Line : 15204 W COLONIAL DR
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-6042
Country : US
Telephone Number : 407-877-2394
Fax Number : 407-877-6143
Authorized Official
Title or Position : MANAGER
Name : LEE ROOPCHAND
Credential :
Telephone Number : 407-877-2394
Provider Enumeration Date : 05/25/2006
Last Update Date : 05/26/2013

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