Organization
CORNERSTONE LONGWOOD LEASING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHELBY L WOLFRUM (BUSINESS OFFICE MANAGER)
(407) 767-0500
Entity
Organization
Contact information
Practice address
480 E. CHURCH AVE., LONGWOOD, FL 32750
(407) 767-0500
(407) 767-5005
Mailing address
480 E CHURCH AVE, LONGWOOD, FL 32750-4290
(407) 767-0500
(407) 767-5005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5315
FL
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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