Angels Senior Living at the Lodges of Idlewild, LLC

NPI #1730631284 in Lutz, Florida

Provider Information

NPI Number
1730631284
Entity Type
Organization
Organization Name
Angels Senior Living at the Lodges of Idlewild, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 1, 2016
Last Updated
Nov 1, 2016

Practice Location

Address
18440 EXCITING IDLEWILD BLVD
City
Lutz
State
Florida
ZIP Code
33548-4573
Phone
(813) 264-8200

Authorized Official

Name
ROBERT BENNETT
Title
OFFICER
Phone
(813) 886-2023

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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