INDIAN SHORE MANOR LLC NPI 1639587108

NPI Information

INDIAN SHORE MANOR, LLC is an assisted living facility in Clermont, FL. The provider is 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. INDIAN SHORE MANOR, LLC NPI is 1639587108. The provider is registered as an organization entity type.

The provider's business location address is:

1611 INDIAN SHORE DR
CLERMONT, FL
ZIP 34711-981
Phone: (352) 404-8571

The provider's authorized official is Merita Mason .
The authorized official title is Administrator and has the following contact phone number (718) 344-3828.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 7/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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