Stone Ledge Manor
NPI #1023263274 in Thonotosassa, Florida
Provider Information
- NPI Number
- 1023263274
- Entity Type
- Organization
- Organization Name
- Stone Ledge Manor
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 1, 2008
- Last Updated
- Dec 1, 2008
Practice Location
- Address
- 12006 MCINTOSH RD
- City
- Thonotosassa
- State
- Florida
- ZIP Code
- 33592-3813
- Phone
- (813) 986-7900
Authorized Official
- Name
- MALCOLM HARRIMAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (813) 986-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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