Indian Oaks Incorporated

NPI #1699957068 in Largo, Florida

Provider Information

NPI Number: 1699957068
Entity Type: Organization
Organization Name: Indian Oaks Incorporated
Primary Specialty: Assisted Living Facility
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 11355 131ST STREET NORTH
City: Largo
State: Florida
ZIP Code: 33774
Phone: (727) 593-0403

Authorized Official

Name: MR. STEWART RYAN ERICKSON
Title: PRESIDENT
Phone: (727) 593-0403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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