Provider Demographics
NPI:1649435595
Name:SILVER STAR HEALTH & REHAB INC.
Entity type:Organization
Organization Name:SILVER STAR HEALTH & REHAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC-ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-656-4615
Mailing Address - Street 1:5026 SILVER STAR ROAD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808
Mailing Address - Country:US
Mailing Address - Phone:407-656-4615
Mailing Address - Fax:407-656-4686
Practice Address - Street 1:5026 SILVER STAR RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4545
Practice Address - Country:US
Practice Address - Phone:407-656-4615
Practice Address - Fax:407-656-4686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility