Camelot Chateau

LBN: Camelot Realty Llc
Camelot Chateau is an health care organization with primary practice located at 1831 Se Lake Weir Ave , Ocala FL 34471-5412. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Camelot Realty Llc can be contacted via phone (352) 629-6077, or through Russell, Terry L via phone (727) 489-0857.

Contact Information

Primary practice address
1831 Se Lake Weir Ave Ocala FL 34471-5412
Phone: (352) 629-6077
Fax: (352) 629-3792
Website:
Map and Directions
Authorized official contact:
Name: Russell, Terry L
Phone: (727) 489-0857

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL5429 Florida

Profile Details

NPI number 1326215625
LBN Legal business name Camelot Realty Llc
DBA Doing business as Camelot Chateau
Authorized official Russell, Terry L
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326215625 NPPES
Florida MEDICAID 14396601

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