Organization
LIVE OAK MANOR ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LENNON-JOTHAM (OWNER-ADMINISTRATOR)
(941) 377-2868
Entity
Organization
Contact information
Practice address
5660 MAUNA LOA BLVD, SARASOTA, FL 34240-8930
(941) 377-2868
(941) 377-8824
Mailing address
5660 MAUNA LOA BLVD, SARASOTA, FL 34240-8930
(941) 377-2868
(941) 377-8824
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6039
FL
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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