Organization
NIC 4 SPRING OAKS LEASING LLC
Active
Other names
Spring Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RYU (PRESIDENT/CEO/CFO)
(212) 479-5270
Entity
Organization
Contact information
Practice address
7251 GROVE ROAD, BROOKSVILLE, FL 34613
(352) 592-1150
(352) 592-2205
Mailing address
PO BOX 1700 C/O HOLIDAY RETIREMENT, NIC 4 SPRING OAKS LEASING LLC, LAKE OSWEGO, OR 97035
(971) 245-8020
(503) 431-2295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10763
FL
Other
Enumeration date
04/29/2013
Last updated
11/30/2016
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