Provider Demographics
NPI:1497093207
Name:FLORIDA LIVING OPTIONS INC
Entity Type:Organization
Organization Name:FLORIDA LIVING OPTIONS INC
Other - Org Name:SEVENTH FLORIDA LIVING OPTIONS LLC HAWTHORNE HEALTH REHAB OF SARASOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-343-1550
Mailing Address - Street 1:5381 DESOTO RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-2618
Mailing Address - Country:US
Mailing Address - Phone:941-355-6111
Mailing Address - Fax:
Practice Address - Street 1:5381 DESOTO RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-2618
Practice Address - Country:US
Practice Address - Phone:941-355-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF130471051314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSNF130471051OtherSTATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION