Organization
SEACOAST AT SUMMERS POINTE LLC
Active
Other names
The Lodge at Summers Pointe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC GERALD FLORES (PRESIDENT)
(813) 341-2712
Entity
Organization
Contact information
Practice address
1 SUNSET DR, WINCHESTER, IN 47394-9251
(813) 341-2712
(765) 584-7496
Mailing address
1868 HIGHLAND OAKS BLVD, STE A, LUTZ, FL 33559
(813) 341-2712
(815) 935-1992
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300072238
—
IN
Enumeration date
11/09/2018
Last updated
03/13/2025
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