Provider Demographics
NPI:1679906689
Name:ALDERMAN OAKS RETIREMENT
Entity Type:Organization
Organization Name:ALDERMAN OAKS RETIREMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARWIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BLIX
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:941-955-9099
Mailing Address - Street 1:727 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7785
Mailing Address - Country:US
Mailing Address - Phone:941-955-9099
Mailing Address - Fax:941-316-7878
Practice Address - Street 1:727 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7785
Practice Address - Country:US
Practice Address - Phone:941-955-9099
Practice Address - Fax:941-316-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL8979310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility