Organization
ROC MARIAN ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WEATHERSPOON (ADMIN/OWNER)
(386) 227-5519
Entity
Organization
Contact information
Practice address
233 SE COUNTRY CLUB RD, LAKE CITY, FL 32025-4986
(386) 227-5519
(386) 361-2370
Mailing address
244 SE VICTORIA GLN, LAKE CITY, FL 32025-9308
(386) 227-5519
(386) 361-2370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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