Organization
ELEVATED ESTATES EDWINOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY PRESCOTT (CONSULTANT)
(727) 919-0396
Entity
Organization
Contact information
Practice address
14235 EDWINOLA WAY, DADE CITY, FL 33523-3763
(352) 567-6500
Mailing address
7044 FALLBROOK CT, NEW PORT RICHEY, FL 34655-4204
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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