Nic 4 Southern Gardens Leasing LLC
NPI #1710321112 in Lake Alfred, Florida
Provider Information
- NPI Number
- 1710321112
- Entity Type
- Organization
- Organization Name
- Nic 4 Southern Gardens Leasing LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 29, 2013
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 255 E MAIN ST
- City
- Lake Alfred
- State
- Florida
- ZIP Code
- 33850-2133
- Phone
- (212) 479-5343
Authorized Official
- Name
- MR. BRIAN SIGMAN
- Title
- CFO
- Phone
- (212) 479-5343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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