Organization
HAMPTON MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDER L JOHNSEN (PRESIDENT)
(352) 387-1830
Entity
Organization
Contact information
Practice address
1731 SW 2ND AVE, SUIT C, OCALA, FL 34471
(352) 387-1830
(352) 873-0237
Mailing address
1731 SW 2ND AVE, SUIT C, OCALA, FL 34471
(352) 387-1830
(352) 873-0237
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14400801
—
FL
Enumeration date
05/22/2008
Last updated
05/22/2008
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