Provider Demographics
NPI:1083956270
Name:VINETTE SCOTT
Entity Type:Organization
Organization Name:VINETTE SCOTT
Other - Org Name:A GOOD HOME LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINSTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VINNETTE
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:407-748-5572
Mailing Address - Street 1:1717 HIALEAH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-6023
Mailing Address - Country:US
Mailing Address - Phone:407-748-5572
Mailing Address - Fax:407-412-6007
Practice Address - Street 1:1717 HIALEAH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-6023
Practice Address - Country:US
Practice Address - Phone:407-748-5572
Practice Address - Fax:407-412-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management