Provider Demographics
NPI:1891198347
Name:SUMMER TIME ALF, INC.
Entity Type:Organization
Organization Name:SUMMER TIME ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ESHLEY MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PACAMALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-645-5515
Mailing Address - Street 1:909 N WYMORE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1769
Mailing Address - Country:US
Mailing Address - Phone:407-645-5515
Mailing Address - Fax:407-599-5539
Practice Address - Street 1:909 N WYMORE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1769
Practice Address - Country:US
Practice Address - Phone:407-645-5515
Practice Address - Fax:407-599-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility