Organization
SH CARROLLWOOD, LLC
Active
Other names
THE COLONNADE AT CARROLLWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO)
(850) 583-7990
Entity
Organization
Contact information
Practice address
13550 S VILLAGE DR, TAMPA, FL 33618-8420
(813) 908-5300
Mailing address
2573 BARRINGTON CIR, TALLAHASSEE, FL 32308-6805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104709800
—
FL
01
—
9134
ALF LICENSE
FL
Enumeration date
12/05/2019
Last updated
02/26/2020
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