Organization
GRACE MANOR AT HUNTERS CREEK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVITRI JOHNSON (ADMINISTRATIVE ASSISTANT / AR)
(863) 226-0358
Entity
Organization
Contact information
Practice address
765 W GRANT ST, PLANT CITY, FL 33563-6810
(813) 743-6222
Mailing address
505 ARIANA AVE, AUBURNDALE, FL 33823-4139
(863) 226-0358
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135774400
—
FL
Enumeration date
04/06/2021
Last updated
05/04/2026
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