Organization
MAYFIELD RETIREMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA F HEISTAND (ADMINISTRATOR)
(352) 365-6011
Entity
Organization
Contact information
Practice address
460 NEWELL HILL RD, LEESBURG, FL 34748-9247
(352) 365-6011
(352) 365-9923
Mailing address
460 NEWELL HILL RD, LEESBURG, FL 34748-9247
(352) 365-6011
(352) 365-9923
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679024100
—
FL
Enumeration date
06/16/2008
Last updated
06/16/2008
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