Sunset Lake Village, LLC

NPI #1114231388 in Venice, Florida

Provider Information

NPI Number: 1114231388
Entity Type: Organization
Organization Name: Sunset Lake Village, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SPRING HAVEN RETIREMENT LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jul 30, 2010
Last Updated: Jul 30, 2010

Practice Location

Address: 1121 JACARANDA BLVD
City: Venice
State: Florida
ZIP Code: 34292-4586
Phone: (941) 497-1117

Authorized Official

Name: TRACI FARINA
Title: BUSINESS OFFICE MANAGER
Phone: (941) 497-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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