Silver Lake Village, INC

NPI #1952937112 in Leesburg, Florida

Provider Information

NPI Number
1952937112
Entity Type
Organization
Organization Name
Silver Lake Village, INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 19, 2020
Last Updated
Mar 19, 2020

Practice Location

Address
34601 RADIO RD
State
Florida
ZIP Code
34788-3301
Phone
(503) 833-2814

Authorized Official

Name
SAMUEL BONGIOVANNI
Title
PRESIDENT
Phone
(503) 833-2814

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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