Organization
J1513, LLC
Active
Other names
Oak Manor Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RYAN ROCKEFELLER (CEO)
(904) 422-5231
Entity
Organization
Contact information
Practice address
3600 OAK MANOR LN, LARGO, FL 33774-1212
(727) 581-9427
Mailing address
200 CLEARWATER LARGO RD S, LARGO, FL 33770-3235
(727) 489-0847
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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