A SAFE HAVEN ASSISTED LIVING, LLC
Nursing at 86 Ave, Largo, FL

License number
Florida AL12103
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. MARK T HUBA
Title: ADMINISTRATOR
Phone: (727) 623-9073
Address
Address
9000 86Th Ave, Largo, FL 33777
National Provider ID: 1003175936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about A SAFE HAVEN ASSISTED LIVING, LLC at bizstanding.com

A SAFE HAVEN ASSISTED LIVING, LLC

Largo, FL  -  New Port Richey, FL

Status:
Inactive
Industry:
Skilled Nursing Care Facility
Inactive reason:
REINSTATEMENT
Registration:
Nov 24, 2010
Inactive since:
Oct 1, 2012
Addresses:
9000 86 Ave, Seminole, FL 33777 (Physical)
5434 Adams Morgan Way, New Port Richey, FL 34652 (Mailing)
1833 Pepperell Dr, New Port Richey, FL 34655
State ID:
L10000121961
Business type:
Florida Limited Liability Company
Administration, Principal, Managing Members:
Martza Perez (Managing Member), 5434 Adams Morgan Way, New Port Richey, FL 34652 (Physical),Mark Huba Administration, Principal, Managing Member, inactive
Agent:
Kahn, Donald,9000 86 Ave, Seminole, FL 33777 (Physical)
EIN:
N/A

Nursing licenses in Florida










Other Doctors licenses in Florida