Provider Demographics
NPI:1194330803
Name:CARE 1ST OF ORLANDO INC
Entity type:Organization
Organization Name:CARE 1ST OF ORLANDO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADY
Authorized Official - Middle Name:
Authorized Official - Last Name:SERVILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN/PT
Authorized Official - Phone:305-318-5115
Mailing Address - Street 1:2211 LEE RD STE 205A
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1846
Mailing Address - Country:US
Mailing Address - Phone:407-622-0589
Mailing Address - Fax:888-506-5776
Practice Address - Street 1:2211 LEE RD STE 205A
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1846
Practice Address - Country:US
Practice Address - Phone:407-622-0589
Practice Address - Fax:888-506-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health