Organization · Type 2 NPI

Heidis Haven LLC

Assisted Living Facility · Leesburg, FL

NPI number 1609204833 Active

Practice location

1205 Bonaire Dr
Leesburg, FL 34748-5707

Call (352) 787-3034 Map

Fax (352) 787-5979

Mailing address

1215 La Salida Way
Leesburg, FL 34748-8272

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL11255 (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.

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About NPI 1609204833

Heidis Haven LLC's National Provider Identifier is 1609204833, issued on Oct 25, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Leesburg, FL. The record was last updated on Oct 25, 2013.