| Horizon On Granada, Llc | |
|
1653 Regal Oak Dr Kissimmee FL 34744-6644 | |
| (407) 334-6169 | |
| (407) 350-4613 |
| Full Name | Horizon On Granada, Llc |
|---|---|
| Speciality | Home Health |
| Location | 1653 Regal Oak Dr, Kissimmee, Florida |
| Authorized Official Name and Position | Merita Thomas Mason (OWNER) |
| Authorized Official Contact | 4073346169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon On Granada, Llc 1653 Regal Oak Dr Kissimmee FL 34744-6644 Ph: (407) 334-6169 | Horizon On Granada, Llc 1653 Regal Oak Dr Kissimmee FL 34744-6644 Ph: (407) 334-6169 |
| NPI Number | 1710522289 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 11/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710522289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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