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Organization
SILVER ALERT LLC
Active
Organization
SILVER ALERT LLC
Active
Other names
Lake Hendon Estate Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LEVERMAN (CFO)
(360) 721-2791
Entity
Organization
Contact information
Practice address
5311 CARSON ST, SAINT CLOUD, FL 34771-7753
(407) 891-2220
Mailing address
5311 CARSON ST, SAINT CLOUD, FL 34771-7753
(407) 891-2220
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12917
AHCA
FL
Enumeration date
04/21/2017
Last updated
04/21/2017
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