Gainesville 4607 Mc Bg Opco LLC
NPI #1316494461 in Gainesville, Florida
Provider Information
- NPI Number
- 1316494461
- Entity Type
- Organization
- Organization Name
- Gainesville 4607 Mc Bg Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 7, 2016
- Last Updated
- Sep 27, 2016
Practice Location
- Address
- 4607 NW 53RD AVE
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32653-4857
- Phone
- (352) 376-5151
Authorized Official
- Name
- PETER TARSNEY
- Title
- AUTHORIZED SIGNATORY
- Phone
- (312) 725-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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