Organization
GARDENS RETREAT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER LESLIE ELLIS (ADMINISTRATOR)
(772) 287-9713
Entity
Organization
Contact information
Practice address
4405 SW 72ND AVE, PALM CITY, FL 34990-5368
(772) 287-9713
(772) 287-9713
Mailing address
4405 SW 72ND AVE, PALM CITY, FL 34990-5368
(772) 287-9713
(772) 287-9713
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11039
FL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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