NATURE COAST LODGE, LLP
Assisted Living Facility
Lecanto, Florida
Provider NPI: 1265426324
Organization Information:Organization Name: NATURE COAST LODGE, LLP
Practice Location:
279 N LECANTO HWY LECANTO, FL 34461 US
Tel: 352-527-9720 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
279 N LECANTO HWY LECANTO, FL 34461 US
Tel: 352-527-9720 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL9126 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ASSISTED LIVING LICENSE # | AL9126 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin