Organization · Type 2 NPI
Heidis Haven LLC
Assisted Living Facility · Fruitland Park, FL
NPI number
1750719340
Active
Practice location
36321 Grays Airport Rd
Fruitland Park, FL 34731-5418
Fax (352) 787-3034
Mailing address
1215 La Salida Way
Leesburg, FL 34748-8272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL11978 (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.
Another provider at this address
Other assisted living facility providers in Fruitland Park
About NPI 1750719340
Heidis Haven LLC's National Provider Identifier is 1750719340, issued on Oct 17, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fruitland Park, FL. The record was last updated on Oct 17, 2013.