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Nic 4 The Grande Leasing Llc
Assisted Living Facility in Brooksville, Florida
NPI 1689018301

Nic 4 The Grande Leasing Llc is an Assisted Living Facility based in Lake Oswego, FL. Nic 4 The Grande Leasing Llc practices in Brooksville, FL. The NPI Number for Nic 4 The Grande Leasing Llc is 1689018301 and holds a License No. 11732 (Florida).

The current practice location address for Nic 4 The Grande Leasing Llc is 725 Desoto Avenue, Brooksville, FL and can be reached out via phone at 352-544-0944.

Location: 725 Desoto Avenue, Brooksville, FL, 97035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689018301
Provider Name
Nic 4 The Grande Leasing Llc
Credential
Provider Entity Type
Organization
Address
725 Desoto Avenue, Brooksville, FL, 97035
Phone Number
352-544-0944
Fax Number
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
725 Desoto Avenue
City
Brooksville
State
Florida
Zip
34601
Phone Number
352-544-0944
Fax Number
person
Provider Business Mailing Address Details
Address
725 Desoto Avenue
City
Brooksville
State
Florida
Zip
34601
Phone Number
352-544-0944
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
11732 (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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