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NPI Code Detail

MEDICARE: SWEET GARDEN ALF CORP

MEDICARE: SWEET GARDEN ALF CORP
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
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113729OTHERFLAHCA

General Provider Information

NPI Number : 1568221232
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWEET GARDEN ALF CORP
Provider Business Mailing Address
First Line : 1619 AMARYLLIS CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7432
Country : US
Telephone Number : 407-731-3392
Fax Number :
Provider Business Practice Location Address
First Line : 1619 AMARYLLIS CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7432
Country : US
Telephone Number : 407-731-3392
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CANDIDA ROLON
Credential :
Telephone Number : 407-731-3392
Provider Enumeration Date : 03/15/2024
Last Update Date : 03/15/2024

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Directions to “SWEET GARDEN ALF CORP ” Practice Location

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