HEIDIS HAVEN LLC
Nursing at Bonaire Dr, Leesburg, FL

License number
Florida AL11255
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. DONALD WILLIAM JOHNSON
Title: OWNER/PRESIDENT
Phone: (352) 787-3034
Address
Address
1205 Bonaire Dr, Leesburg, FL 34748
National Provider ID: 1609204833
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

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