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Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA BACHMAN (MANAGER)
(863) 385-5454
Entity
Organization

Contact information

Practice address
5959 SUN N LAKE BLVD, SEBRING, FL 33872-2075
(863) 385-5454
Mailing address
PO BOX 5500, VALDOSTA, GA 31603-5500

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/29/2019
Last updated
08/02/2024
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