SHADY ACRES, INC.
Nursing at Cr 782, Ridge Manor Estates, FL

License number
Florida AL9373
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MISS BRENDA LEE LONG RN
Title: ADMINISTRATOR
Phone: (352) 303-2827
Address
Address
670 Cr 782, Ridge Manor Estates, FL 33597
National Provider ID: 1568783660
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHADY ACRES, INC

Ridge Manor Estates, FL

Registration:
May 4, 1998
Addresses:
670 Crk 782, Webster, FL 33597 (Physical)
PO Box 774, Ridge Manor Estates, FL 33597
State ID:
P98000040818
Business type:
Florida Profit Corporation
President:
Brenda Long (President), PO Box 774, Webster, FL 33597 (Physical)
Agent:
Long, Brenda,8353 County Rd 747, Webster, FL 33597 (Physical)
EIN:
52-2097692

Nursing licenses in Florida