Shady Lane Retirement Home
Shady Lane Retirement Home is an Assisted Living Facility in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2009.
- Licensed in
- FL
- In the registry since
- 2009
Practice location Address checks out
201 Rosefield AveLeesburg, FL 34748-5014
Phone: (352) 728-1559
Fax: (352) 728-1703
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence AL6001 (FL) |
|---|
Record details
| NPI number | 1114253754 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Segundo Lizardo — Owner/Administrator · (352) 728-1559 |
| NPI enumerated | November 1, 2009 |
| Last updated in NPPES | November 1, 2009 |
| Mailing address | 201 Rosefield Ave, Leesburg, FL 34748-5014 |
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