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Cedar Creek at Kings Bay, Inc

Organization Active NPI Assisted Living Facility · Crystal River, FL

NPI 1104262302 · NPPES record last updated May 14, 2013

Key facts

NPI
1104262302
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
AL10230 (FL)
Legal business name
CEDAR CREEK AT KINGS BAY, INC
Practice address
231 NW Hwy 19
Crystal River, FL 34428
Phone
(352) 564-2446
NPI assigned
May 14, 2013
Organization subpart
No

Authorized official

Name
Ms. Heather Stevens
Title
Assistant Director
Phone
(352) 564-2446

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1006833Cedar Creek at Kings Bay Inc
231 NW Hwy 19, Crystal River, FL 34428		Certificate of waiverDec 2, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10230 FL Yes

Addresses

Primary practice location

231 NW Hwy 19
Crystal River, FL 34428

Mailing address

231 NW Hwy 19
Crystal River, FL 34428
Phone (352) 564-2446

Other names

  • Cedar Creek Doing business as

Other providers in Crystal River, FL

All providers in Crystal River, FL · Assisted Living Facility in Florida

Sources for this page

Verify at the official NPI Registry.