Provider Demographics
NPI:1427419878
Name:SILVER BEND CARE
Entity Type:Organization
Organization Name:SILVER BEND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-879-3996
Mailing Address - Street 1:2653 ALCLOBE CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-8972
Mailing Address - Country:US
Mailing Address - Phone:407-879-3996
Mailing Address - Fax:
Practice Address - Street 1:2653 ALCLOBE CIR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-8972
Practice Address - Country:US
Practice Address - Phone:407-879-3996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906790311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home