Healthcare Provider Details

I. General information

NPI: 1396256095
Provider Name (Legal Business Name): SEBRING SENIOR LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2017
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S PINE ST
SEBRING FL
33870-3654
US

IV. Provider business mailing address

725 S PINE ST
SEBRING FL
33870-3654
US

V. Phone/Fax

Practice location:
  • Phone: 863-385-0161
  • Fax:
Mailing address:
  • Phone: 863-385-0161
  • Fax: 863-385-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: CHRISTIN J ROSE
Title or Position: CHAIRMAN
Credential:
Phone: 423-584-6755