Organization
RSC DUNNELLON HARBOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEREMY JORDAN (MANAGER)
(954) 613-2300
Entity
Organization
Contact information
Practice address
12080 SW HIGHWAY 484, DUNNELLON, FL 34432
(954) 613-2300
(954) 613-2301
Mailing address
12080 SW HIGHWAY 484, DUNNELLON, FL 34432
(954) 613-2300
(954) 613-2301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL8142
AHCA
FL
Enumeration date
10/26/2016
Last updated
10/26/2016
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