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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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