Organization
SURREY PLACE OF LACANTO LLC
Active
Other names
Diamond Ridge Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D. MITCHELL (PRESIDENT)
(850) 386-2831
Entity
Organization
Contact information
Practice address
2730 W MARC KNIGHTON CT, LECANTO, FL 34461-8334
(352) 746-9500
(352) 746-9666
Mailing address
2123 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4930
(850) 386-2831
(850) 386-2016
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025626900
—
FL
Enumeration date
08/03/2005
Last updated
03/18/2014
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