Healthcare Provider Details

I. General information

NPI: 1053096594
Provider Name (Legal Business Name): CARING FOR YOU TWO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 OLD CANOE CREEK RD
ST. CLOUD FL
34772
US

IV. Provider business mailing address

2910 OLD CANOE CREEK RD
ST. CLOUD FL
34772-7670
US

V. Phone/Fax

Practice location:
  • Phone: 407-593-1242
  • Fax:
Mailing address:
  • Phone: 407-593-1242
  • 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: BALAKUMARAN SURIAKUMARAN
Title or Position: OWNER
Credential:
Phone: 313-268-2807