Provider Demographics
NPI:1952926834
Name:SEBRING SENIOR LIVING, INC.
Entity Type:Organization
Organization Name:SEBRING SENIOR LIVING, INC.
Other - Org Name:THE PALMS OF SEBRING (ALF)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/AO
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-584-6755
Mailing Address - Street 1:725 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3654
Mailing Address - Country:US
Mailing Address - Phone:863-385-0161
Mailing Address - Fax:
Practice Address - Street 1:725 S PINE ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3654
Practice Address - Country:US
Practice Address - Phone:863-385-0161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility