Healthcare Provider Details

I. General information

NPI: 1770182883
Provider Name (Legal Business Name): SABRENA'S RETIREMENT RESORT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 10/20/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 N HASTINGS ST
ORLANDO FL
32808-4818
US

IV. Provider business mailing address

PO BOX 681365
ORLANDO FL
32868-1365
US

V. Phone/Fax

Practice location:
  • Phone: 407-578-4453
  • Fax:
Mailing address:
  • Phone: 407-832-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: HARRIET SABRENA SAMAROO
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 407-832-4567