Provider Demographics
NPI:1053452748
Name:SCALETCO, INC
Entity Type:Organization
Organization Name:SCALETCO, INC
Other - Org Name:QUALITY OF LIFE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SCALETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-696-5000
Mailing Address - Street 1:1745 TRAVERTINE TER
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7733
Mailing Address - Country:US
Mailing Address - Phone:407-696-5000
Mailing Address - Fax:888-217-4124
Practice Address - Street 1:210 CROWN POINT CIR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6053
Practice Address - Country:US
Practice Address - Phone:407-696-5000
Practice Address - Fax:888-217-4124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health