Provider Demographics
NPI:1053611970
Name:SOUTH EAST GREAT HEALTH CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:SOUTH EAST GREAT HEALTH CARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-694-6900
Mailing Address - Street 1:7345 W SAND LAKE RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5284
Mailing Address - Country:US
Mailing Address - Phone:407-694-6900
Mailing Address - Fax:407-694-6901
Practice Address - Street 1:7345 W SAND LAKE RD
Practice Address - Street 2:SUITE 306
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5284
Practice Address - Country:US
Practice Address - Phone:407-694-6900
Practice Address - Fax:407-694-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health