Organization · Type 2 NPI

Nic 4 Royal Palm Leasing LLC

Assisted Living Facility · Port Charlotte, FL

NPI number 1619318219 Active

Practice location

2500 Aaron St.
Port Charlotte, FL 33952

Call (941) 627-6762 Map

Fax (941) 627-9890

Mailing address

PO Box 1700, Nic 4 Royal Palm Leasing Llc, C/o Holiday Retirement
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X3915 (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 1619318219

Nic 4 Royal Palm Leasing LLC's National Provider Identifier is 1619318219, issued on Jul 11, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Charlotte, FL. The record was last updated on Dec 1, 2016.