Organization
HAMPTON ALF AT WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM CUTSURIES (VP OF OPERATIONS)
(352) 804-5040
Entity
Organization
Contact information
Practice address
12980 SE 484, DUNNELLON, FL 34432
(352) 465-0300
(352) 465-7273
Mailing address
12980 SE HWY 484, DUNNELLON, FL 34432
(352) 465-0300
(352) 465-7273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001657800
—
FL
Enumeration date
03/03/2011
Last updated
03/03/2011
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