Organization
ANGELS SENIOR LIVING RESERVE AT IDLEWILD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S BENNETT MBA (COO)
(813) 545-0682
Entity
Organization
Contact information
Practice address
18420 EXCITING IDLEWILD BLVD, LUTZ, FL 33548-4573
(813) 545-0682
Mailing address
18420 EXCITING IDLEWILD BLVD, LUTZ, FL 33548-4573
(813) 545-0682
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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