Hidden Oaks Alf, Inc.

NPI 1053700393 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1053700393
Enumeration Date 01/09/2015
Last Updated 01/09/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name WANDA M WANDA
Position OWNER, ADMINISTRATOR
Phone (386) 938-2097
Fax (386) 938-2636
Practice Location
1476 PEARL AVE SE
LIVE OAK FL, 32064-4223, US
Phone (386) 938-2097
Fax (386) 938-2636
Business Location
PO BOX 180
JENNINGS FL, 32053-0180, US
Phone (386) 938-2097
Fax (386) 938-2636
Toxanomy
Taxonomy Code 3104A0625X
License State
License Number
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According to our database, Hidden Oaks Alf, Inc. NPI is 1053700393, taxonomy code is 3104A0625X Hidden Oaks Alf, Inc. physically located at 1476 Pearl Ave Se, Live Oak FL, 32064-4223. NPI Number 1033115704 has the healthcare provider type.

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1053700393 NPI number is provided on an as is basis without warranty of any kind. 1053700393 is maintained by the National Plan & Provider Enumeration System. The contents of Hidden Oaks Alf, Inc. are for informational purposes only.