Organization
EDINBOROUGH SQUARE HEALTH CARE ASSOCIATES LLC
Active
Other names
Villas at Lakeside Oaks, The, The Villas at Lakeside Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1059 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-6091
(727) 736-6739
Mailing address
1059 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-6091
(727) 736-6739
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001564800
—
FL
Enumeration date
06/02/2006
Last updated
06/14/2019
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