100 John Knox Rd Tenant LLC
Assisted Living Facility in Tallahassee, FL. Organization (NPI-2).
NPI number1023846045
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1023846045
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 John Knox Rd Tenant LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | – | – |
Other names
- The Gables Of Tallahassee (Doing Business As)
Practice location
100 John Knox RdTallahassee, FL 32303-6673
Phone 334-322-8719
Mailing address
8415 E 21st St N Ste 100Wichita, KS 67206-2959
Phone 316-616-6288
Authorized official
Sharon Makowsky
Authorized Representative
4192472800
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