Organization
INFINITY AT LAKE EUSTIS, LLC
Active
Other names
Infinity at Lake Eustis, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA OLIVER NURSE, NHA, MHA (ADMINISTRATOR)
(407) 579-0426
Entity
Organization
Contact information
Practice address
27 S CENTER ST, EUSTIS, FL 32726-4147
(407) 579-0426
Mailing address
27 S CENTER ST, EUSTIS, FL 32726-4147
(407) 579-0426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
FL
Enumeration date
01/26/2021
Last updated
09/05/2024
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