Provider Demographics
NPI:1225135353
Name:SF III TLF, LLC
Entity Type:Organization
Organization Name:SF III TLF, LLC
Other - Org Name:FINR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COLLECTIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOQUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-767-4484
Mailing Address - Street 1:PO BOX 1348
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-1348
Mailing Address - Country:US
Mailing Address - Phone:863-773-2857
Mailing Address - Fax:863-773-2041
Practice Address - Street 1:1962 VANDOLAH ROAD
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873
Practice Address - Country:US
Practice Address - Phone:863-773-2857
Practice Address - Fax:863-773-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTLF7006096283X00000X, 320600000X, 320700000X
FLTLF70090971283X00000X
FL100045445322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children