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NPI Code Detail

MEDICARE: ARBOR FACILITY INC

MEDICARE: ARBOR FACILITY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF1588096FL

General Provider Information

NPI Number : 1164819652
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARBOR FACILITY INC
Provider Business Mailing Address
First Line : 4302 HOLLYWOOD BLVD
Second Line : #369
City : HOLLYWOOD
State : FL
Zip : 33021-6635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 490 S OLD WIRE RD
Second Line :
City : WILDWOOD
State : FL
Zip : 34785-5001
Country : US
Telephone Number : 352-748-3322
Fax Number :
Authorized Official
Title or Position : AUTHORIZED REPRESENTATIVE
Name : MR. MICHAEL BLEICH
Credential :
Telephone Number : 845-641-8314
Provider Enumeration Date : 04/22/2015
Last Update Date : 10/23/2018

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Directions to “ARBOR FACILITY INC ” Practice Location

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