Prestige Manor LLC

NPI #1104242460 in Belleview, Florida

Provider Information

NPI Number: 1104242460
Entity Type: Organization
Organization Name: Prestige Manor LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Mar 11, 2014
Last Updated: Sep 11, 2014

Practice Location

Address: 6040 SE FRONT RD
City: Belleview
State: Florida
ZIP Code: 34420-3326
Phone: (352) 307-6333

Authorized Official

Name: MRS. CARROL DILLON-SMITH
Title: OWNER/ADMINISTRATOR
Phone: (352) 307-6333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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