Indian Shore Manor, LLC
NPI #1639587108 in Clermont, Florida
Provider Information
- NPI Number
- 1639587108
- Entity Type
- Organization
- Organization Name
- Indian Shore Manor, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 29, 2014
- Last Updated
- Jul 29, 2014
Practice Location
Authorized Official
- Name
- MERITA MASON
- Title
- ADMINISTRATOR
- Phone
- (718) 344-3828
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