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Organization
SENIOR LIVING SPECIALTIES, LLC
Active
Organization
SENIOR LIVING SPECIALTIES, LLC
Active
Other names
Concierge Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GREGORY YOUNG (SECRETARY & CAO)
(904) 733-1003
Entity
Organization
Contact information
Practice address
13923 ICOT BLVD STE 815, CLEARWATER, FL 33760-3767
(727) 328-8308
(727) 328-2071
Mailing address
4655 SALISBURY RD STE 110, JACKSONVILLE, FL 32256-0957
(904) 733-1003
(904) 448-8855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA 299991368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0983899
CLIA
FL
05
—
111118700
—
FL
01
—
299991368
AHCA
FL
Enumeration date
05/16/2006
Last updated
12/27/2023
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