Mk Of Winter Garden Llc

LBN: Mk Of Winter Garden Llc
Mk Of Winter Garden Llc is an health care organization with primary practice located at 12751 W Colonial Dr , Winter Garden FL 34787-4113. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mk Of Winter Garden Llc can be contacted via phone (407) 877-6636, or through Harbilas, Tarry via phone (407) 877-6636.

Contact Information

Primary practice address
12751 W Colonial Dr Winter Garden FL 34787-4113
Phone: (407) 877-6636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harbilas, Tarry
Phone: (407) 877-6636

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1456096 Florida

Profile Details

NPI number 1689683443
LBN Legal business name Mk Of Winter Garden Llc
DBA Doing business as
Authorized official Harbilas, Tarry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 24th, 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 1689683443 NPPES
Florida MEDICAID 02254100

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