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Organization

NATURE COAST LODGE, LLP

Active
Other names
Nature Coast
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA BROOKS (CFO - DEACONESS LONG TERM CARE, INC)
(513) 487-3600
Entity
Organization

Contact information

Practice address
279 N LECANTO HWY, LECANTO, FL 34461-7103
(352) 527-9720
(352) 527-8215
Mailing address
440 LAFAYETTE AVE, SUITE 400, CINCINNATI, OH 45220-1022
(513) 487-3600
(513) 487-3653

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9126
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL9126
ASSISTED LIVING LICENSE #
FL
Enumeration date
09/06/2005
Last updated
08/22/2020
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