CR 125, LLC
Organization Active NPI Assisted Living Facility · Wildwood, FL
NPI 1235630633 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1235630633
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CR 125, LLC
- Practice address
- 5268 County Road 125
Wildwood, FL 34785-7914 - Phone
- (352) 474-2696
- Fax
- (352) 464-6046
- NPI assigned
- Feb 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Adam Anthony
- Title
- Managing Partner
- Phone
- (352) 474-2696
National Provider Directory
Locations
5268 County Road 125
Wildwood, FL 34785
Phone (352) 474-2696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
5268 County Road 125
Wildwood, FL 34785-7914
Mailing address
2518 Burnsed Blvd Ste 317
The Villages, FL 32163-2704
Phone (352) 474-2696
Other names
- Generations Senior Living at The Fairways
Other providers in Wildwood, FL
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, P.a.
- Compass DPT, LLC
- Christine Marie Connell
- Santiago Corrales Delgado I
- Tracy M. Creel
- Ana Cristina Cruz
- Angelo Anthony Darby
- Miguel J. De Puigdorfila
- Neil Ivan Delos Reyes
All providers in Wildwood, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.