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NPI Code Detail

MEDICARE: FAMILY EXTENDED CARE OF SEBRING, INC.

MEDICARE: FAMILY EXTENDED CARE OF SEBRING, 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
1310400000XAssisted Living Facility

Other Identifiers

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

General Provider Information

NPI Number : 1992274625
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY EXTENDED CARE OF SEBRING, INC.
Provider Business Mailing Address
First Line : 5005 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2175
Country : US
Telephone Number : 863-386-1060
Fax Number :
Provider Business Practice Location Address
First Line : 5005 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2175
Country : US
Telephone Number : 863-386-1060
Fax Number :
Authorized Official
Title or Position : CEO
Name : LINDA GLUCK
Credential :
Telephone Number : 305-728-1534
Provider Enumeration Date : 11/26/2018
Last Update Date : 06/11/2019

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Directions to “FAMILY EXTENDED CARE OF SEBRING, INC. ” Practice Location

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