Provider Demographics
NPI:1588384176
Name:ORCHARD PARK ASSISTED LIVING FACILITY
Entity type:Organization
Organization Name:ORCHARD PARK ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-491-5727
Mailing Address - Street 1:2755 GRAPEVINE CREST
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761
Mailing Address - Country:US
Mailing Address - Phone:407-491-5727
Mailing Address - Fax:407-715-6661
Practice Address - Street 1:2755 GRAPEVINE CREST
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761
Practice Address - Country:US
Practice Address - Phone:407-491-5727
Practice Address - Fax:407-715-6661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORCHARD PARK ASSISTED LIVING FACILITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility