Organization
741 SOUTH BENEVA ROAD OPERATIONS LLC
Active
Other names
Beneva Lakes Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
743 S BENEVA RD, SARASOTA, FL 34232-2411
(941) 316-0151
(941) 316-0218
Mailing address
743 S BENEVA RD, SARASOTA, FL 34232-2411
(941) 316-0151
(941) 316-0218
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017573700
—
FL
Enumeration date
05/23/2016
Last updated
05/21/2019
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