Nic 5 Forest Oaks Leasing LLC
Assisted Living Facility in Spring Hill, FL. Organization (NPI-2).
NPI number1508200213
StatusActive
Last updated in NPPESDec 1, 2016
Details
- NPI
- 1508200213
- Entity type
- Organization (NPI-2)
- Legal business name
- Nic 5 Forest Oaks Leasing LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2013
- Last updated
- Dec 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 7179 | FL | Yes |
Other names
- Forest Oaks Of Spring Hill (Doing Business As)
Practice location
8055 Forest Oaks Blvd.Spring Hill, FL 34606
Phone 352-683-3323 · Fax 352-686-1465
Mailing address
Po Box 1700 C/O Holiday RetirementNic 4 Forest Oaks Leasing LLC
Lake Oswego, OR 97035
Phone 971-245-8020 · Fax 503-431-2295
Authorized official
Jane Ryu
President/Ceo/Cfo
2124795270
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