Organization · Type 2 NPI

Indian Shore Manor, LLC

Assisted Living Facility · Clermont, FL

NPI number 1639587108 Active

Practice location

1611 Indian Shore Dr
Clermont, FL 34711-2981

Call (352) 404-8571 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL12464 (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 1639587108

Indian Shore Manor, LLC's National Provider Identifier is 1639587108, issued on Jul 29, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clermont, FL. The record was last updated on Jul 29, 2014.