NPI 1003315961

Fairview Manor, INC.

Organisation Assisted Living Facility Winter Park, FL

Practice location

Address: 1310 Fairview Ave, Winter Park, FL 32789-3647
Phone: (407) 331-0980
Fax: (407) 622-1443

Authorised official

Name: Manuel Vicente Medina
Title: Executive Director
Phone: (407) 331-0980

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL12826 (FL)

Other Assisted Living Facility providers in Florida →

Registry record

NPI: 1003315961
Entity type: Organization
NPI issued: 6 Feb 2018
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.