Organization
NIC 4 ROYAL PALM LEASING LLC
Active
Other names
Royal Palm Retirement Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RYU (PRESIDENT/CEO/CFO)
(212) 479-5270
Entity
Organization
Contact information
Practice address
2500 AARON ST., PORT CHARLOTTE, FL 33952
(941) 627-6762
(941) 627-9890
Mailing address
PO BOX 1700, NIC 4 ROYAL PALM LEASING LLC, C/O HOLIDAY RETIREMENT, LAKE OSWEGO, OR 97035
(971) 245-8020
(503) 431-2295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3915
FL
Other
Enumeration date
07/11/2013
Last updated
12/01/2016
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