Provider Demographics
NPI:1770182883
Name:SABRENA'S RETIREMENT RESORT, INC.
Entity Type:Organization
Organization Name:SABRENA'S RETIREMENT RESORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:SABRENA
Authorized Official - Last Name:SAMAROO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-832-4567
Mailing Address - Street 1:PO BOX 681365
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32868-1365
Mailing Address - Country:US
Mailing Address - Phone:407-832-4567
Mailing Address - Fax:
Practice Address - Street 1:2325 N HASTINGS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4818
Practice Address - Country:US
Practice Address - Phone:407-578-4453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility