Healthcare Provider Details

I. General information

NPI: 1982750444
Provider Name (Legal Business Name): OCALA GERIATRIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 01/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 SW 42ND ST
OCALA FL
34471-1366
US

IV. Provider business mailing address

1300 SW 42ND ST
OCALA FL
34471-1366
US

V. Phone/Fax

Practice location:
  • Phone: 352-207-9505
  • Fax: 352-873-8233
Mailing address:
  • Phone: 352-207-9505
  • Fax: 352-873-8233

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: MS. TERESA CHERRY
Title or Position: VICE PRESIDENT
Credential:
Phone: 352-625-7777