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Shady Lane Retirement Home
Assisted Living Facility in Leesburg, Florida
NPI 1114253754

Shady Lane Retirement Home is an Assisted Living Facility based in Leesburg, FL. Shady Lane Retirement Home practices in Leesburg, FL. The NPI Number for Shady Lane Retirement Home is 1114253754 and holds a License No. AL6001 (Florida).

The current practice location address for Shady Lane Retirement Home is 201 Rosefield Ave, Leesburg, FL and can be reached out via phone at 352-728-1559 and via fax at 352-728-1703.

Location: 201 Rosefield Ave, Leesburg, FL, 34748-5014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114253754
Provider Name
Shady Lane Retirement Home
Credential
Provider Entity Type
Organization
Address
201 Rosefield Ave, Leesburg, FL, 34748-5014
Phone Number
352-728-1559
Fax Number
352-728-1703
Provider Enumeration Date
11/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2209282005070 05 FL
institution
Provider Business Practice Location Address Details
Address
201 Rosefield Ave
City
Leesburg
State
Florida
Zip
34748-5014
Phone Number
352-728-1559
Fax Number
352-728-1703
person
Provider Business Mailing Address Details
Address
201 Rosefield Ave
City
Leesburg
State
Florida
Zip
34748-5014
Phone Number
352-728-1559
Fax Number
352-728-1703
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL6001 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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