Provider Demographics
NPI:1811230733
Name:PRAM/HUNTER'S CREEK TE, LLC
Entity Type:Organization
Organization Name:PRAM/HUNTER'S CREEK TE, LLC
Other - Org Name:SPRING HILLS HUNTERS CREEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-251-8088
Mailing Address - Street 1:3800 TOWN CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6196
Mailing Address - Country:US
Mailing Address - Phone:407-251-8088
Mailing Address - Fax:407-251-8292
Practice Address - Street 1:3800 TOWN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6196
Practice Address - Country:US
Practice Address - Phone:407-251-8088
Practice Address - Fax:407-251-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9858310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility