- Enrollment id
- O20110324000196
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1366446080
- Multiple npi flag
- N
- Ccn
- 105728
- Associate id
- 3678502861
- Organization name
- ORLANDO REHABILITATION GROUP , INC.
- Doing business as name
- ORLANDO HEALTH AND REHABILITATION CENTER
- Incorporation date
- 1998-12-28
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- ORLANDO HEALTH AND REHABILITATION CENTER
- Address line 1
- 830 W 29TH STREET
- City
- ORLANDO
- State
- FL
- Zip code
- 328056201