Organization
SHARICKS DECK RETIREMENT RANCH
Active
Other names
Sharicks Deck Retirement Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAS ANTONIO CICCARELLO (OWNER)
(813) 754-5223
Entity
Organization
Contact information
Practice address
4506 BRUTON RD, PLANT CITY, FL 33565-7029
(813) 754-5223
(813) 752-9265
Mailing address
4506 BRUTON RD, PLANT CITY, FL 33565-7029
(813) 754-5223
(813) 752-9265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5335
FL
Other
Enumeration date
07/06/2009
Last updated
06/17/2015
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