NPI 1043648728

Elite Manor - Kissimmee

Organisation Assisted Living Facility Kissimmee, FL

Practice location

Address: 4034 Sunny Day Way, Kissimmee, FL 34744-9152
Phone: (646) 610-9621
Fax: (407) 286-6363

Authorised official

Name: Sharda Sukhu-Gafoor
Title: Administrator
Phone: (646) 610-9621

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 12424 (FL)

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Registry record

NPI: 1043648728
Entity type: Organization
NPI issued: 16 Oct 2013
Record last updated: 16 Oct 2013

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.