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Nic 5 Spring Haven Leasing Llc
Assisted Living Facility in Winter Haven, Florida
NPI 1992149397

Nic 5 Spring Haven Leasing Llc is an Assisted Living Facility based in Lake Oswego, FL. Nic 5 Spring Haven Leasing Llc practices in Winter Haven, FL. The NPI Number for Nic 5 Spring Haven Leasing Llc is 1992149397 and holds a License No. 5504 (Florida).

The current practice location address for Nic 5 Spring Haven Leasing Llc is 1225 Nw Havendale Boulevard, Winter Haven, FL and can be reached out via phone at 863-293-0072 and via fax at 863-294-4935.

Location: 1225 Nw Havendale Boulevard, Winter Haven, FL, 97035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992149397
Provider Name
Nic 5 Spring Haven Leasing Llc
Credential
Provider Entity Type
Organization
Address
1225 Nw Havendale Boulevard, Winter Haven, FL, 97035
Phone Number
863-293-0072
Fax Number
863-294-4935
Provider Enumeration Date
04/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1225 Nw Havendale Boulevard
City
Winter Haven
State
Florida
Zip
33881
Phone Number
863-293-0072
Fax Number
863-294-4935
person
Provider Business Mailing Address Details
Address
1225 Nw Havendale Boulevard
City
Winter Haven
State
Florida
Zip
33881
Phone Number
863-293-0072
Fax Number
863-294-4935
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
5504 (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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