Organization
CR 125, LLC
Active
Other names
Generations Senior Living at The Fairways
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ANTHONY (MANAGING PARTNER)
(352) 474-2696
Entity
Organization
Contact information
Practice address
5268 COUNTY ROAD 125, WILDWOOD, FL 34785-7914
(352) 474-2696
(352) 464-6046
Mailing address
2518 BURNSED BLVD STE 317, THE VILLAGES, FL 32163-2704
(352) 474-2696
(352) 464-6046
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
03/21/2023
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