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State Road 121
Assisted Living Facility in The Villages, Florida
NPI 1457894586

State Road 121 is an Assisted Living Facility based in The Villages, FL. State Road 121 practices in The Villages, FL. The NPI Number for State Road 121 is 1457894586 and holds a License No. (Florida).

The current practice location address for State Road 121 is 2518 Burnsed Blvd, The Villages, FL and can be reached out via phone at 352-474-2696 and via fax at 352-464-6046.

Location: 2518 Burnsed Blvd, The Villages, FL, 32163-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457894586
Provider Name
State Road 121
Credential
Provider Entity Type
Organization
Address
2518 Burnsed Blvd, The Villages, FL, 32163-2704
Phone Number
352-474-2696
Fax Number
352-464-6046
Provider Enumeration Date
11/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2518 Burnsed Blvd
City
The Villages
State
Florida
Zip
32163-2704
Phone Number
352-474-2696
Fax Number
352-464-6046
person
Provider Business Mailing Address Details
Address
2518 Burnsed Blvd
City
The Villages
State
Florida
Zip
32163-2704
Phone Number
352-474-2696
Fax Number
352-464-6046
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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