Organization
SOUTHERN GARDENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA J EARP (CONTROLLER)
(863) 293-0072
Entity
Organization
Contact information
Practice address
255 E MAIN ST, LAKE ALFRED, FL 33850-2133
(863) 956-0411
(863) 956-0164
Mailing address
255 E MAIN ST, LAKE ALFRED, FL 33850-2133
(863) 956-0411
(863) 956-0164
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8937
FL
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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