Organization
HAMPTON ALF AT BELLEVIEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDER JOHNSEN (CEO)
(352) 387-1830
Entity
Organization
Contact information
Practice address
10590 SE 62ND AVENUE RD, BELLEVIEW, FL 34420-3004
(352) 245-6201
Mailing address
10590 SE 62ND AVENUE RD, BELLEVIEW, FL 34420-3004
(352) 245-6201
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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