Organization
FT. WHITE ALF BSLC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA ROJAS (MANAGER)
(941) 809-6147
Entity
Organization
Contact information
Practice address
6873 SW US HIGHWAY 27, FORT WHITE, FL 32038-3539
(941) 809-6147
Mailing address
11611 WATER POPPY TER, LAKEWOOD RANCH, FL 34202-5127
(941) 809-6147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12714
AHCA
FL
Enumeration date
02/01/2017
Last updated
02/01/2017
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