| NPI | 1255769840 |
|---|---|
| Doing Business As | HEIDIS HAVEN-LA SALIDA |
| Entity Type | Organization |
| Authorized Contact | DONALD WILLIAM JOHNSON Owner/ Administrator 352-787-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11848) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |