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Organization

OSPREY LODGE LLC

Active
Other names
Osprey Lodge
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CASEY (MANAGING DIRECTOR - ASSET MANAGEMEN)
(512) 891-1258
Entity
Organization

Contact information

Practice address
1761 NIGHTINGALE LN, TAVARES, FL 32778-4315
(352) 253-5100
Mailing address
1761 NIGHTINGALE LN, TAVARES, FL 32778-4315
(352) 253-5100

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12259
FL

Other

Enumeration date
02/07/2014
Last updated
03/14/2017
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