HEIDIS HAVEN LLC
Nursing at La Salida Way, Leesburg, FL

License number
Florida AL11848
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. DONALD WILLIAM JOHNSON
Title: OWNER/ ADMINISTRATOR
Phone: (352) 787-3034
Address
Address
1215 La Salida Way, Leesburg, FL 34748
National Provider ID: 1255769840
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HEIDIS HAVEN LLC at bizstanding.com

HEIDIS HAVEN LLC

1215 Ln Salida Way, Leesburg, FL 34748

Industry:
Individual/Family Services
Registration:
Apr 4, 2005
State ID:
L05000032772
Business type:
Florida Limited Liability Company
Managing Members:
Donald W Johnson (Managing Member), 1215 Ln Salida Way, Leesburg, FL 34748 (Physical),Isolde H Johnson (Managing Member), 1215 Ln Salida Way, Leesburg, FL 34748 (Physical)
Agent:
Donald Johnson,1215 Ln Salida Way, Leesburg, FL 34748 (Physical)
EIN:
30-0078179

Nursing licenses in Florida










Other Doctors licenses in Florida