Organization
HIDDEN OAKS ALF, INC.
Active
Parent organization
HIDDEN OAKS ALF, INC
Other names
The Nancy Dengler House
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIDDEN OAKS ALF, INC
Authorized official
MS. WANDA M LAW MASTERS OF EDUCATION (OWNER, ADMINISTRATOR)
(386) 938-2097
Entity
Organization
Contact information
Practice address
2089 NW 69TH AVE, JENNINGS, FL 32053-2337
(386) 938-2097
(386) 938-2636
Mailing address
PO BOX 180, JENNINGS, FL 32053-0180
(386) 938-2097
(386) 938-2636
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010960400
—
FL
Enumeration date
11/06/2014
Last updated
12/28/2022
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