Organization · Type 2 NPI

Nic 4 the Grande Leasing LLC

Assisted Living Facility · Brooksville, FL

NPI number 1689018301 Active

Practice location

725 Desoto Avenue
Brooksville, FL 34601

Call (352) 544-0944 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X11732 (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 1689018301

Nic 4 the Grande Leasing LLC's National Provider Identifier is 1689018301, issued on Apr 24, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Brooksville, FL. The record was last updated on Dec 1, 2016.