Organization
HARPER LAKE OPERATIONS, LLC
Active
Other names
The Canopy at Harper Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH LINTON (OWNER)
(904) 240-1388
Entity
Organization
Contact information
Practice address
213 NW GLEASON DR, LAKE CITY, FL 32055-5846
(386) 344-6985
Mailing address
1000 RIVERSIDE AVE STE 450, JACKSONVILLE, FL 32204-4016
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104221800
—
FL
Enumeration date
10/04/2019
Last updated
11/08/2019
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