Organization
INDIAN ROCKS ASSISTED LIVING, INC.
Active
Other names
Heron House Indian Rocks
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE GERY (ADMINISTRATOR)
(727) 599-7644
Entity
Organization
Contact information
Practice address
2050 E BAY DR, LARGO, FL 33771-2321
(727) 559-7666
Mailing address
2050 E BAY DR, LARGO, FL 33771-2321
(727) 559-7666
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10811
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142595100
—
FL
Enumeration date
01/22/2014
Last updated
01/22/2014
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