Organization
CLERMONT1818 OPCO, LLC
Active
Other names
Madison at Clermont
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE GRZYBOWSKI (CONTROLLER)
(706) 691-9308
Entity
Organization
Contact information
Practice address
650 E MINNEHAHA AVE, CLERMONT, FL 34711-3445
(352) 241-0844
Mailing address
650 E MINNEHAHA AVE, CLERMONT, FL 34711-3445
(352) 241-0844
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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