Summer Time Lodge, Inc.

LBN: Summer Time Lodge, Inc.
Summer Time Lodge, Inc. is an health care organization with primary practice located at 909 N Wymore Rd , Winter Park FL 32789-1769. 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. Summer Time Lodge, Inc. can be contacted via phone (407) 645-5515, or through Pacamalan, Eshley May via phone (407) 645-5515.

Contact Information

Primary practice address
909 N Wymore Rd Winter Park FL 32789-1769
Phone: (407) 645-5515
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pacamalan, Eshley May
Phone: (407) 645-5515

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL5492 Florida

Profile Details

NPI number 1679973515
LBN Legal business name Summer Time Lodge, Inc.
DBA Doing business as
Authorized official Pacamalan, Eshley May
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2014
Last updated Aug 28th, 2014 - about 12 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 1679973515 NPPES
Florida MEDICAID 140828300

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