Organization
HAMPTON ALF AT BELLEVIEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM CUTSURIES (VP OF OPERATIONS)
(352) 804-5040
Entity
Organization
Contact information
Practice address
10590 SE 62ND AVENUE RD, BELLEVIEW, FL 34420-3004
(352) 245-6201
(352) 245-9188
Mailing address
10590 SE 62ND AVENUE RD, BELLEVIEW, FL 34420-3004
(352) 245-6201
(352) 245-9188
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002683200
—
FL
Enumeration date
03/14/2011
Last updated
03/14/2011
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