Organization
NH ASL DUNEDIN TENANT, LLC
Active
Other names
The Preserve at Dunedin
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HICKOK (AUTHORIZED REPRESENTATIVE)
(212) 761-3649
Entity
Organization
Contact information
Practice address
2010 GREENBRIAR BLVD, CLEARWATER, FL 33763-1454
(727) 735-6200
Mailing address
1585 BROADWAY FL 33, NEW YORK, NY 10036-0473
(212) 761-3649
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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