Provider Demographics
NPI:1750728630
Name:ARBOR OAKS @ GREENACRES
Entity type:Organization
Organization Name:ARBOR OAKS @ GREENACRES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMARCAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-221-3344
Mailing Address - Street 1:3400 S JOG RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2080
Mailing Address - Country:US
Mailing Address - Phone:561-432-4700
Mailing Address - Fax:561-434-2547
Practice Address - Street 1:3400 S JOG RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2080
Practice Address - Country:US
Practice Address - Phone:561-432-4700
Practice Address - Fax:561-434-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9996310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility