Organization
BLUE HAVEN ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYTONYA HARGROVE (ADMINISTRATOR)
(352) 409-3585
Entity
Organization
Contact information
Practice address
35525 COUNTY ROAD 473, LEESBURG, FL 34788-6161
(352) 314-0422
(352) 314-0423
Mailing address
33409 IRONGATE DR, LEESBURG, FL 34788-3158
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11984
FL
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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