Organization
LIFETIDES HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE DILENGE M.S.W. (CEO)
(727) 804-4500
Entity
Organization
Contact information
Practice address
3133 LAS OLAS DR, DUNEDIN, FL 34698-2914
(727) 804-4500
(727) 943-7505
Mailing address
3438 E LAKE RD, SUITE 14, PMB 650, PALM HARBOR, FL 34685-2400
(727) 804-4500
(727) 943-7505
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9832
FL
Other
Enumeration date
11/30/2005
Last updated
08/22/2020
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