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Organization

HARBORCHASE OF GAINESVILLE, LLC

Active
Other names
HarborChase of Gainesville, Inc., HarborChase of Gainesville
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY ANNE SMICK DEMBROWSKI (AUTHORIZED REPRESENTATIVE)
(772) 492-5002
Entity
Organization

Contact information

Practice address
1415 FORT CLARKE BLVD, GAINESVILLE, FL 32606-7181
(352) 332-4505
(352) 331-4909
Mailing address
1415 FORT CLARKE BLVD, GAINESVILLE, FL 32606-7181
(352) 332-4505
(352) 331-4909

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107369000
FL
Enumeration date
01/03/2014
Last updated
10/06/2021
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