Nic 4 Sunset Lake Leasing

NPI #1285078659 in Venice, Florida

Provider Information

NPI Number
1285078659
Entity Type
Organization
Organization Name
Nic 4 Sunset Lake Leasing
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 29, 2013
Last Updated
Dec 1, 2016

Practice Location

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

Authorized Official

Name
JANE RYU
Title
PRESIDENT/CEO/CFO
Phone
(212) 479-5270

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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