| NPI | 1497949895 |
|---|---|
| Former Legal Business Name | HERON HOUSE |
| Entity Type | Organization |
| Authorized Contact | MILDRED N OBERMAN Director Of Administration 941-955-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9345) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |