Healthcare Provider Details

I. General information

NPI: 1881143238
Provider Name (Legal Business Name): RSC OCALA HARMONY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 09/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5762 SW 60TH AVE
OCALA FL
34474-5677
US

IV. Provider business mailing address

5762 SW 60TH AVE
OCALA FL
34474-5677
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-4544
  • Fax:
Mailing address:
  • Phone: 352-237-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL5828
License Number StateFL

VIII. Authorized Official

Name: GEREMY JORDAN
Title or Position: MGR
Credential:
Phone: 954-613-2300