Organization
DONGLEN INVESTMENTS LLC
Active
Other names
SILVER CREST HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DONAVON JOHNSON (OWNER)
(954) 559-0566
Entity
Organization
Contact information
Practice address
1010 DARLINGTON CT, KISSIMMEE, FL 34758-3049
(407) 201-7259
(866) 421-5678
Mailing address
2011 IMPERIAL EAGLE PL, KISSIMMEE, FL 34746-1914
(954) 559-0566
(866) 421-5678
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018809900
—
FL
Enumeration date
10/20/2016
Last updated
10/20/2016
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