100 John Knox Rd Tenant LLC
NPI #1023846045 in Tallahassee, Florida
Provider Information
- NPI Number
- 1023846045
- Entity Type
- Organization
- Organization Name
- 100 John Knox Rd Tenant LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Jul 22, 2024
Practice Location
- Address
- 100 JOHN KNOX RD
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32303-6673
- Phone
- (334) 322-8719
Authorized Official
- Name
- SHARON MAKOWSKY
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (419) 247-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
| Assisted Living Facility |
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