NPI | 1366857484 |
---|---|
Doing Business As | SYERRA'S ANGELS ASSISTED LIVING FACILITY |
Entity Type | Organization |
Authorized Contact | JUNE NATASHA PHIFER Administrator 352-509-2294 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12707) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906684) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2015-10-01 |