Organization
NIC 5 SPRING HAVEN LEASING LLC
Active
Other names
Spring Haven Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RYU (PRESIDENT/CEO/CFO)
(212) 479-5270
Entity
Organization
Contact information
Practice address
1225 NW HAVENDALE BOULEVARD, WINTER HAVEN, FL 33881
(863) 293-0072
(863) 294-4935
Mailing address
PO BOX 1700, NIC 5 SPRING HAVEN LEASING LLC, C/O HOLIDAY RETIREMENT, LAKE OSWEGO, OR 97035
(971) 245-8020
(503) 431-2295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5504
FL
Other
Enumeration date
04/29/2013
Last updated
12/01/2016
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