Organization · Type 2 NPI

1415 Fort Clarke BLVD Tenant LLC

Assisted Living Facility · Gainesville, FL

NPI number 1174351183 Active

Practice location

1415 Fort Clarke Blvd
Gainesville, FL 32606-7181

Call (352) 332-4505 Map

Mailing address

8415 E 21st St N Ste 100
Wichita, KS 67206-2959

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed

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.

5 other providers at this address

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About NPI 1174351183

1415 Fort Clarke BLVD Tenant LLC's National Provider Identifier is 1174351183, issued on Jul 22, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 22, 2024.