Embassy Indian Oaks LLC

NPI #1235759846 in Largo, Florida

Provider Information

NPI Number: 1235759846
Entity Type: Organization
Organization Name: Embassy Indian Oaks LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Apr 23, 2020
Last Updated: Sep 11, 2020

Practice Location

Address: 11355 131ST ST
City: Largo
State: Florida
ZIP Code: 33774-4716
Phone: (941) 362-4753

Authorized Official

Name: GEORGE S REPCHICK
Title: MANAGER
Phone: (941) 362-4753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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