Organization
LEISURE LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS WILLIAMS (ADMINISTRATOR)
(407) 286-0293
Entity
Organization
Contact information
Practice address
1760 S IVEY LN, ORLANDO, FL 32811-4804
(407) 286-0293
Mailing address
1760 S IVEY LN, ORLANDO, FL 32811-4804
(407) 286-0293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12686
FL
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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