Provider Demographics
NPI:1467061960
Name:O.S.J. FAMILY PLACE
Entity Type:Organization
Organization Name:O.S.J. FAMILY PLACE
Other - Org Name:O.S.J. FAMILY PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:407-501-1261
Mailing Address - Street 1:2636 DAYBREEZE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-5293
Mailing Address - Country:US
Mailing Address - Phone:407-501-1261
Mailing Address - Fax:
Practice Address - Street 1:2636 DAYBREEZE CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-5293
Practice Address - Country:US
Practice Address - Phone:407-501-1261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility