SH HERON CLUB LLC NPI 1780248617

NPI Information

SH HERON CLUB, LLC is an assisted living facility in Sarasota, 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. SH HERON CLUB, LLC NPI is 1780248617. The provider is registered as an organization entity type.
The provider Is Doing Business As Heron Club.

The provider's business location address is:

3749 SARASOTA SQUARE BLVD
SARASOTA, FL
ZIP 34238-595
Phone: (941) 922-1669

The provider's authorized official is Seth Walker .
The authorized official title is Cfo, Sri Management and has the following contact phone number (850) 583-7990.

The CLIA number assigned to this NPI record is 10D2169951 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 4/25/2019.

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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