Organization · Type 2 NPI
Heidis Haven LLC
Assisted Living Facility · Lady Lake, FL
NPI number
1073759890
Active
Practice location
39106 Grays Airport Rd
Lady Lake, FL 32159-4004
Fax (352) 787-5979
Mailing address
51 Barlow Fields Dr
Hayesville, NC 28904-9485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL10397 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
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About NPI 1073759890
Heidis Haven LLC's National Provider Identifier is 1073759890, issued on Dec 29, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lady Lake, FL. The record was last updated on Sep 14, 2016.