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Organization
THONOTOSASSA, FL OPCO, LLC
Active
Organization
THONOTOSASSA, FL OPCO, LLC
Active
Other names
Stone Ledge Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DOLE (MANAGER)
(312) 724-8950
Entity
Organization
Contact information
Practice address
12006 MCINTOSH RD, THONOTOSASSA, FL 33592-3838
(813) 986-7900
Mailing address
1633 N CAMPBELL AVE, CHICAGO, IL 60647-5203
(312) 724-8950
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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