Organization
DELANEY CREEK LODGE, LLP
Active
Other names
Delaney Creek Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA BROOKS (CFO - DEACONESS LONG TERM CARE, INC)
(513) 487-3600
Entity
Organization
Contact information
Practice address
320 S LAKEWOOD DR, BRANDON, FL 33511-0809
(813) 655-8858
(813) 655-1079
Mailing address
440 LAFAYETTE AVE, SUITE 400, CINCINNATI, OH 45220-1022
(513) 487-3600
(513) 487-3638
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL9582
ASSISTED LIVING LICENSE #
FL
Enumeration date
09/06/2005
Last updated
08/22/2020
Update your record
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