Organization
SILVER ALERT LLC
Active
Other names
Lake Hendon Estate Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LEVERMAN (CFO)
(360) 721-2791
Entity
Organization
Contact information
Practice address
5311 CARSON ST, SAINT CLOUD, FL 34771-7753
(407) 891-2220
Mailing address
5311 CARSON ST, SAINT CLOUD, FL 34771-7753
(407) 891-2220
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12917
AHCA
FL
Enumeration date
04/21/2017
Last updated
04/21/2017
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