Organization · Type 2 NPI

Nic 4 Village Place Leasing LLC

Assisted Living Facility · Port Charlotte, FL

NPI number 1811331283 Active

Practice location

18400 Cochran Blvd.
Port Charlotte, FL 33948

Call (941) 766-8900 Map

Fax (941) 766-8224

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	9249 (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 1811331283

Nic 4 Village Place Leasing LLC's National Provider Identifier is 1811331283, issued on Apr 29, 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 Nov 22, 2016.