GRACE VILLA FACILITY LLC; NPI #1427306844

Contact Information

GRACE VILLA FACILITY LLC

321 E HARVARD STREET
ORLANDO, FL 32804

Phone: 407-895-8418
Fax: 407-895-8229
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for GRACE VILLA FACILITY LLC

NPI # 1427306844

LBN Legal business name GRACE VILLA FACILITY LLC

Authorized official HAFEEZ ALI - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/15/2012

Last updated 08/15/2012 - About 14 years ago

Identifiers

FL	License #	AL8445
FL	Medicaid	675965300

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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