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Organization

AMERICAN SENIOR LIVING OF SEBRING, FL, LLC

Active
Other names
Fairway Pines at Sun N Lakes
Organization subpart
No

Provider details

NPI number
Authorized official
MEDERIA DORAN (EXECUTIVE DIRECTOR)
(863) 385-5454
Entity
Organization

Contact information

Practice address
5959 SUN N LAKE BLVD, SEBRING, FL 33872-2075
(863) 385-5454
Mailing address
5959 SUN N LAKE BLVD, SEBRING, FL 33872-2075
(863) 385-5454

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5105
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140900000
FL
05
686324800
FL
Enumeration date
04/13/2007
Last updated
06/12/2008
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