SOUTH CAMPUS FACILITY INC
Nursing at Dixie Ave, Leesburg, FL

License number
Florida SNF12910961
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. MICHAEL BLEICH
Title: AUTHORIZED REPRESENTATIVE
Phone: (845) 641-8314
Address
Address 2
715 E Dixie Ave, Leesburg, FL 34748
4302 Hollywood Blvd #369, Hollywood, FL 33021
National Provider ID: 1629455779
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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South Campus Facility Inc

4302 Hollywood Blvd, Hollywood, FL 33021

Registration:
Mar 30, 2015
State ID:
P15000029317
Business type:
Domestic for Profit Corporation
Chairman:
Forshay 12 Inc (Chairman)

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