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Pompano House South Operation Llc
Assisted Living Facility in Lake Alfred, Florida
NPI 1659041382

Pompano House South Operation Llc is an Assisted Living Facility based in Lake Alfred, FL. Pompano House South Operation Llc practices in Lake Alfred, FL. The NPI Number for Pompano House South Operation Llc is 1659041382 and holds a License No. (Florida).

The current practice location address for Pompano House South Operation Llc is 350 W Haines Blvd, Lake Alfred, FL and can be reached out via phone at 863-956-8831 and via fax at 863-954-9141.

Location: 350 W Haines Blvd, Lake Alfred, FL, 33850-2718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659041382
Provider Name
Pompano House South Operation Llc
Credential
Provider Entity Type
Organization
Address
350 W Haines Blvd, Lake Alfred, FL, 33850-2718
Phone Number
863-956-8831
Fax Number
863-954-9141
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10511 01 FL AHCA
institution
Provider Business Practice Location Address Details
Address
350 W Haines Blvd
City
Lake Alfred
State
Florida
Zip
33850-2718
Phone Number
863-956-8831
Fax Number
863-954-9141
person
Provider Business Mailing Address Details
Address
350 W Haines Blvd
City
Lake Alfred
State
Florida
Zip
33850-2718
Phone Number
863-956-8831
Fax Number
863-954-9141
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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