Healthcare Provider Details
I. General information
NPI: 1346726148
Provider Name (Legal Business Name): ALL IN ONE COMMUNITY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2018
Last Update Date: 06/24/2023
Certification Date: 06/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1236 N PINE HILLS RD
ORLANDO FL
32808-6231
US
IV. Provider business mailing address
1236 N PINE HILLS RD
ORLANDO FL
32808-6231
US
V. Phone/Fax
- Phone: 407-295-8683
- Fax: 800-572-3749
- Phone: 407-295-8683
- Fax: 800-572-3749
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
SHERLYN
LEONARD
Title or Position: DIRECTOR
Credential:
Phone: 321-436-7841