Provider Demographics
NPI:1821762394
Name:CITRUS OPERATOR, LLC
Entity Type:Organization
Organization Name:CITRUS OPERATOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KNIPPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-746-2273
Mailing Address - Street 1:2341 W NORVELL BRYANT HWY
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-9438
Mailing Address - Country:US
Mailing Address - Phone:352-746-2273
Mailing Address - Fax:352-746-4166
Practice Address - Street 1:2341 W NORVELL BRYANT HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9438
Practice Address - Country:US
Practice Address - Phone:352-746-2273
Practice Address - Fax:352-746-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility