Organization
INDIAN SHORE MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERITA MASON (ADMINISTRATOR)
(718) 344-3828
Entity
Organization
Contact information
Practice address
1611 INDIAN SHORE DR, CLERMONT, FL 34711-2981
(352) 404-8571
Mailing address
1611 INDIAN SHORE DR, CLERMONT, FL 34711-2981
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12464
FL
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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