Organization
SH HERON CLUB, LLC
Active
Other names
Heron Club
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO, SRI MANAGEMENT)
(850) 583-7990
Entity
Organization
Contact information
Practice address
3749 SARASOTA SQUARE BLVD, SARASOTA, FL 34238-4595
(941) 922-1669
Mailing address
2573 BARRINGTON CIR, TALLAHASSEE, FL 32308-6805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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