Favor Memorycare Assisted Living Facility Inc

LBN: Favor Memorycare Assisted Living Facility Inc
Favor Memorycare Assisted Living Facility Inc is an health care organization with primary practice located at 385 E Wildmere Ave , Longwood FL 32750-5537. 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. Favor Memorycare Assisted Living Facility Inc can be contacted via phone (407) 951-6926, or through Etoh, Peter via phone (407) 415-5064.

Contact Information

Primary practice address
385 E Wildmere Ave Longwood FL 32750-5537
Phone: (407) 951-6926
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Etoh, Peter
Phone: (407) 415-5064

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 13066
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 13066 Florida

Profile Details

NPI number 1780194258
LBN Legal business name Favor Memorycare Assisted Living Facility Inc
DBA Doing business as Favor Memorycare Assisted Living Facility Inc
Authorized official Etoh, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2017
Last updated Jun 16th, 2018 - about 8 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 1780194258 NPPES
Florida MEDICAID 1720418635

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