Organization
INDIAN OAKS INCORPORATED
Active
Other names
Indian Oaks Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART RYAN ERICKSON (PRESIDENT)
(727) 593-0403
Entity
Organization
Contact information
Practice address
11355 131ST STREET NORTH, LARGO, FL 33774
(727) 593-0403
Mailing address
11355 131ST STREET NORTH, LARGO, FL 33774
(727) 593-0403
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6056
FL
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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