MEDICARE: HARBLIN, LLC

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
1	310400000X	Assisted Living Facility	AL12709	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700254786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBLIN, LLC

Provider Business Mailing Address
First Line	:	1691 PARKGLEN CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-8162
Country	:	US
Telephone Number	:	321-276-6441
Fax Number	:

Provider Business Practice Location Address
First Line	:	1691 PARKGLEN CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-8162
Country	:	US
Telephone Number	:	321-276-6441
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZHOUPING ZHANG
Credential	:
Telephone Number	:	321-276-6441

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	09/09/2015

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Directions to “HARBLIN, LLC ” Practice Location

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