Angels Senior Living Reserve at Idlewild LLC

NPI #1205699394 in Lutz, Florida

Provider Information

NPI Number
1205699394
Entity Type
Organization
Organization Name
Angels Senior Living Reserve at Idlewild LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 1, 2024
Last Updated
Feb 1, 2024

Practice Location

Address
18420 EXCITING IDLEWILD BLVD
City
Lutz
State
Florida
ZIP Code
33548-4573
Phone
(813) 545-0682

Authorized Official

Name
MR. ROBERT S BENNETT, MBA
Title
COO
Phone
(813) 545-0682

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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