| NPI | 1063939148 |
|---|---|
| Doing Business As | HERON HOUSE OF LARGO |
| Entity Type | Organization |
| Authorized Contact | ZEVI KOHN Member 718-338-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10811) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |