Organization
1415 FORT CLARKE BLVD TENANT LLC
Active
Other names
The Gables of Gainesville
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MAKOWSKY (AUTHORIZED REPRESENTATIVE)
(419) 247-2800
Entity
Organization
Contact information
Practice address
1415 FORT CLARKE BLVD, GAINESVILLE, FL 32606-7181
(352) 332-4505
Mailing address
8415 E 21ST ST N STE 100, WICHITA, KS 67206-2959
(316) 616-6288
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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