Organization · Type 2 NPI
State Road 121
Assisted Living Facility · The Villages, FL
NPI number
1457894586
Active
Practice location
2518 Burnsed Blvd, Suite 317
The Villages, FL 32163-2704
Fax (352) 464-6046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None 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.
Another provider at this address
Other assisted living facility providers in The Villages
About NPI 1457894586
State Road 121's National Provider Identifier is 1457894586, issued on Nov 21, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in The Villages, FL. The record was last updated on Nov 21, 2016.