Grand Fortune Group
Assisted Living Facility in Kissimmee, FL. Organization (NPI-2).
NPI number1295032829
StatusActive
Last updated in NPPESFeb 17, 2011
Details
- NPI
- 1295032829
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Fortune Group
- Organization subpart
- No
- Enumeration date
- Feb 17, 2011
- Last updated
- Feb 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL7215 | FL | Yes |
Other names
- Amber Lake Assisted Living (Doing Business As)
Practice location
2411 Fortune RdKissimmee, FL 34744-3964
Phone 407-348-6100 · Fax 407-348-0031
Mailing address
2411 Fortune RdKissimmee, FL 34744-3964
Phone 407-348-6100 · Fax 407-348-0031
Authorized official
Jonathan Bartolo
Cfo
4073486100
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