MEDICARE: CHA-BILL & ASSOCIATES

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

General Provider Information

NPI Number	:	1831431105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHA-BILL & ASSOCIATES

Provider Business Mailing Address
First Line	:	3024 SARATOGA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-5625
Country	:	US
Telephone Number	:	407-896-3921
Fax Number	:

Provider Business Practice Location Address
First Line	:	3024 SARATOGA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-5625
Country	:	US
Telephone Number	:	407-896-3921
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CRYSTAL LEIGH RANDOLPH
Credential	:
Telephone Number	:	407-896-3921

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	03/25/2013

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Directions to “CHA-BILL & ASSOCIATES ” Practice Location

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