Healthcare Provider Details

I. General information

NPI: 1568832392
Provider Name (Legal Business Name): AUBURNDALE OAKS CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 07/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 OLD WINTER HAVEN RD
AUBURNDALE FL
33823-4329
US

IV. Provider business mailing address

919 OLD WINTER HAVEN RD
AUBURNDALE FL
33823-4329
US

V. Phone/Fax

Practice location:
  • Phone: 863-967-4125
  • Fax:
Mailing address:
  • Phone: 863-967-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 718-692-0600