Healthcare Provider Details

I. General information

NPI: 1952604860
Provider Name (Legal Business Name): JULIES RETIREMENT RESORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 N HASTINGS ST
ORLANDO FL
32808-4818
US

IV. Provider business mailing address

2325 N HASTINGS ST
ORLANDO FL
32808-4818
US

V. Phone/Fax

Practice location:
  • Phone: 407-777-7777
  • Fax:
Mailing address:
  • Phone: 407-777-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: RADIKA SINGH
Title or Position: OWNER
Credential:
Phone: 407-777-7777