Provider Demographics
NPI: | 1346681251 |
---|---|
Name: | ARHC ATLARFL01 TRS, LLC |
Entity Type: | Organization |
Organization Name: | ARHC ATLARFL01 TRS, LLC |
Other - Org Name: | ABROR TERRACE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JUDD |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HARPER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 404-237-4509 |
Mailing Address - Street 1: | 3715 NORTHSIDE PKWY NW |
Mailing Address - Street 2: | BUILDING 300, SUITE 110 |
Mailing Address - City: | ATLANTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30327-2806 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 404-237-4509 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 333 16TH AVE SE |
Practice Address - Street 2: | |
Practice Address - City: | LARGO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33771-4407 |
Practice Address - Country: | US |
Practice Address - Phone: | 727-588-0020 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-07-09 |
Last Update Date: | 2013-07-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 7933 | 310400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |