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NPI Code Detail

MEDICARE: PRAM/HUNTER'S CREEK TE, LLC

MEDICARE: PRAM/HUNTER'S CREEK TE, 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
1310400000XAssisted Living FacilityAL9858FL

General Provider Information

NPI Number : 1811230733
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRAM/HUNTER'S CREEK TE, LLC
Provider Business Mailing Address
First Line : 3800 TOWN CENTER BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6196
Country : US
Telephone Number : 407-251-8088
Fax Number : 407-251-8292
Provider Business Practice Location Address
First Line : 3800 TOWN CENTER BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6196
Country : US
Telephone Number : 407-251-8088
Fax Number : 407-251-8292
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. KAREN LYNN DECKER
Credential :
Telephone Number : 407-251-8088
Provider Enumeration Date : 03/28/2013
Last Update Date : 03/28/2013

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Directions to “PRAM/HUNTER'S CREEK TE, LLC ” Practice Location

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