1114253754 SHADY LANE RETIREMENT HOME
Assisted Living Facility
Active
Basic Information
- Organization Name
- SHADY LANE RETIREMENT HOME
- Enumeration Date
- November 1, 2009
- Last Update
- November 1, 2009
- Authorized Official
- MR. SEGUNDO LIZARDO
OWNER/ADMINISTRATOR
Phone: (352) 728-1559
Practice Location
- Address
- 201 ROSEFIELD AVE
LEESBURG, FL 347485014 - Phone
- (352) 728-1559
- Fax
- (352) 728-1703
Mailing Address
- Address
- 201 ROSEFIELD AVE
LEESBURG, FL 347485014 - Phone
- (352) 728-1559
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Assisted Living Facility | AL6001 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2209282005070 | 05 | FL | N/A |
Frequently Asked Questions
What is SHADY LANE RETIREMENT HOME's NPI number?
SHADY LANE RETIREMENT HOME's NPI number is 1114253754.
Which doctor has NPI number 1114253754?
The doctor with NPI number 1114253754 is SHADY LANE RETIREMENT HOME.
What is SHADY LANE RETIREMENT HOME's practice address?
SHADY LANE RETIREMENT HOME's practice address is 201 ROSEFIELD AVE, LEESBURG, FL, 347485014.
Which doctor practices at 201 ROSEFIELD AVE, LEESBURG, FL, 347485014?
SHADY LANE RETIREMENT HOME practices at 201 ROSEFIELD AVE, LEESBURG, FL, 347485014.
What is SHADY LANE RETIREMENT HOME's phone number?
SHADY LANE RETIREMENT HOME's phone number is (352) 728-1559.
Who is (352) 728-1559?
(352) 728-1559 is the phone number for SHADY LANE RETIREMENT HOME.
What is SHADY LANE RETIREMENT HOME's specialty?
SHADY LANE RETIREMENT HOME's specialty is Assisted Living Facility.
What type of doctor is SHADY LANE RETIREMENT HOME?
SHADY LANE RETIREMENT HOME is a Assisted Living Facility.
Is SHADY LANE RETIREMENT HOME a Assisted Living Facility?
Yes, SHADY LANE RETIREMENT HOME is a Assisted Living Facility.
Is SHADY LANE RETIREMENT HOME still practicing?
Yes, SHADY LANE RETIREMENT HOME is currently practicing.
Is SHADY LANE RETIREMENT HOME accepting new patients?
SHADY LANE RETIREMENT HOME may be accepting new patients. Please call their office at (352) 728-1559 to inquire about availability.
Is NPI 1114253754 still active?
Yes, NPI 1114253754 is currently active.
Where does SHADY LANE RETIREMENT HOME practice?
SHADY LANE RETIREMENT HOME practices in LEESBURG, FL.