Ft. White Alf BSLC LLC

Organization Active NPI Assisted Living Facility · Fort White, FL

NPI 1215475017 · NPPES record last updated Feb 1, 2017

Key facts

NPI
1215475017
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
FT. WHITE ALF BSLC LLC
Practice address
6873 SW US Highway 27
Fort White, FL 32038-3539
Phone
(941) 809-6147
NPI assigned
Feb 1, 2017
Organization subpart
No

Authorized official

Name
Liza Rojas
Title
Manager
Phone
(941) 809-6147

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

6873 SW US Highway 27
Fort White, FL 32038-3539

Mailing address

11611 Water Poppy Ter
Lakewood Ranch, FL 34202-5127
Phone (941) 809-6147

Other identifiers

IdentifierTypeStateIssuer
AL12714OtherFLAHCA

Other providers in Fort White, FL

All providers in Fort White, FL · Assisted Living Facility in Florida

Sources for this page

Verify at the official NPI Registry.