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Organization

FL RETIREMENT I LLC

Active
Other names
Hudson Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID E HAUCK (CFO)
(717) 591-5703
Entity
Organization

Contact information

Practice address
115 E DAVIS BLVD, TAMPA, FL 33606-3513
(813) 254-8399
(813) 254-6998
Mailing address
4550 LENA DRIVE SUITE 225, THE HOLLINGER GROUP, MECHANICSBURG, PA 17055
(717) 591-5703
(717) 591-5710

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
692467100
FL
Enumeration date
06/03/2008
Last updated
06/03/2008
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