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Organization

CAMELOT REALTY LLC

Active
Other names
Camelot Chateau
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY L RUSSELL (MANAGER)
(727) 489-0857
Entity
Organization

Contact information

Practice address
1831 SE LAKE WEIR AVE, OCALA, FL 34471-5412
(352) 629-6077
(352) 629-3792
Mailing address
3600 OAK MANOR LN, LARGO, FL 33774-1212
(727) 489-0857
(727) 489-3334

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5429
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14396601
FL
Enumeration date
05/15/2008
Last updated
05/15/2008
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