Provider Demographics
NPI:1326381021
Name:TURNER CARE ALF
Entity Type:Organization
Organization Name:TURNER CARE ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:352-796-3733
Mailing Address - Street 1:5483 NEFF LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-7842
Mailing Address - Country:US
Mailing Address - Phone:352-796-3733
Mailing Address - Fax:352-796-3733
Practice Address - Street 1:5483 NEFF LAKE RD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-7842
Practice Address - Country:US
Practice Address - Phone:352-796-3733
Practice Address - Fax:352-796-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11821310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility