Organization
EMBASSY INDIAN OAKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE S REPCHICK (MANAGER)
(941) 362-4753
Entity
Organization
Contact information
Practice address
11355 131ST ST, LARGO, FL 33774-4716
(941) 362-4753
(941) 362-4766
Mailing address
240 N WASHINGTON BLVD STE 430, SARASOTA, FL 34236-5933
(941) 362-4753
(941) 362-4766
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
09/11/2020
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