Provider Demographics
NPI:1043734999
Name:SLANDY INC.
Entity Type:Organization
Organization Name:SLANDY INC.
Other - Org Name:EXECUTIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-726-7600
Mailing Address - Street 1:2753 STATE ROAD 580 STE 201
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3345
Mailing Address - Country:US
Mailing Address - Phone:727-726-7600
Mailing Address - Fax:727-726-7700
Practice Address - Street 1:2753 STATE ROAD 580 STE 201
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3345
Practice Address - Country:US
Practice Address - Phone:727-726-7600
Practice Address - Fax:727-726-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994428251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health