Organization
AMERICAN SENIOR LIVING OF DADE CITY FL LLC
Active
Other names
Edwinola Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORENE M FORD (DIRECTOR OF MIS)
(239) 963-3400
Entity
Organization
Contact information
Practice address
14235 EDWINOLA WAY, DADE CITY, FL 33523-3763
(352) 567-6500
(352) 567-0272
Mailing address
5692 STRAND CT, NAPLES, FL 34110-3389
(239) 963-3400
(239) 963-3401
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140899200
—
FL
05
—
686252700
—
FL
Enumeration date
04/24/2007
Last updated
05/15/2014
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