Organization
ADULT HEALTHCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDER LEONARD JOHNSEN (PRESIDENT)
(352) 387-1830
Entity
Organization
Contact information
Practice address
1731 SW 2ND AVE, OCALA, FL 34471-8179
(352) 387-1830
(352) 873-0237
Mailing address
12980 SW HIGHWAY 484, DUNNELLON, FL 34432-6428
(352) 387-1830
(352) 873-0237
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14396501
—
FL
Enumeration date
05/20/2008
Last updated
05/20/2008
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