Provider Demographics
NPI:1699113761
Name:SLOAN HOME OF CENTRAL FLORIDA INC. II
Entity type:Organization
Organization Name:SLOAN HOME OF CENTRAL FLORIDA INC. II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEVIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESARDIAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-663-9537
Mailing Address - Street 1:505 HARBOR POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1845
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 HARBOR POINT BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-1845
Practice Address - Country:US
Practice Address - Phone:321-663-9537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility