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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