| NPI | 1699957068 |
|---|---|
| Doing Business As | INDIAN OAKS MANOR |
| Entity Type | Organization |
| Authorized Contact | STEWART RYAN ERICKSON President 727-593-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6056) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |