Organization
LIFESPACE COMMUNITIES INC
Active
Parent organization
LIFESPACE COMMUNITIES INC
Other names
Village on the Green
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPACE COMMUNITIES INC
Authorized official
MR. JESSE JANTZEN (PRESIDENT AND CEO)
(515) 288-5805
Entity
Organization
Contact information
Practice address
515 VILLAGE PL, LONGWOOD, FL 32779-6041
(407) 682-0230
(407) 682-3893
Mailing address
515 VILLAGE PL, LONGWOOD, FL 32779-6041
(407) 682-0230
(407) 682-3893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
21234096
FL
314000000X
Skilled Nursing Facility
Primary
SNF1579096
FL
Other
Enumeration date
06/01/2006
Last updated
05/18/2022
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