Organization
SENIOR LIVING PROPERTIES III, LLC
Active
Other names
Savannah Court of St. Cloud
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TUCKER (BILLING SPECIALIST)
(954) 691-1030
Entity
Organization
Contact information
Practice address
3791 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-6630
(407) 892-8502
Mailing address
4611 JOHNSON RD UNIT 1, COCONUT CREEK, FL 33073-4361
(954) 691-1030
(954) 691-1036
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008616500
—
FL
Enumeration date
10/28/2020
Last updated
09/15/2021
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