Organization
SENIOR LIVING III SRQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE ABREU (RISK MGMT & COMPLIANCE MANAGER)
(813) 330-2660
Entity
Organization
Contact information
Practice address
1900 PHILLIPPI SHORES DR, SARASOTA, FL 34231-3205
(941) 404-7888
Mailing address
4301 ANCHOR PLAZA PKWY STE 400, TAMPA, FL 33634-7529
(813) 330-2660
(844) 808-0071
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12463
FL
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
01/14/2015
Last updated
08/13/2021
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