NPI | 1669962155 |
---|---|
Doing Business As | SUPERIOR RESIDENCES OF LECANTO |
Entity Type | Organization |
Authorized Contact | SETH WALKER CFO 850-583-7990 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12256) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2020-05-21 |