Organization
LULA FRAZIER
Active
Other names
Safe Haven Oaks Assisted Living Facility, LLC., M & L Independent Living, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
LULA FRAZIER (OWNER)
(352) 460-3529
Entity
Organization
Contact information
Practice address
409 S LINCOLN ST, BUSHNELL, FL 33513-7109
(352) 460-3529
(352) 508-9798
Mailing address
409 S LINCOLN ST, BUSHNELL, FL 33513-7109
(352) 460-3529
(352) 508-9798
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811354531
—
FL
Enumeration date
02/27/2018
Last updated
06/16/2018
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