10D0955293 CLIA NUMBER - HUNTERS CROSSING PLACE MEMORY CARE

Laboratory Demographics

CLIA Number: 10D0955293

Facility Name: HUNTERS CROSSING PLACE MEMORY CARE

Facility Address:
4607 NW 53RD AVE
GAINESVILLE, FL
ZIP 32653
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Facility Phone Number: 352 376-5151

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1316494461

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D0955293
LAB Type	Assisted Living Facility
Facility Name	HUNTERS CROSSING PLACE MEMORY CARE
Street	4607 NW 53RD AVE
City	GAINESVILLE
State	FL
ZIP	32653
Phone	352 376-5151
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024