Provider Demographics
NPI:1265577365
Name:SARLETTOHOUSEALF
Entity type:Organization
Organization Name:SARLETTOHOUSEALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SLAVICA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOJANOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-429-2090
Mailing Address - Street 1:2989 SARLETTO ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-5413
Mailing Address - Country:US
Mailing Address - Phone:941-429-2090
Mailing Address - Fax:941-423-3315
Practice Address - Street 1:2989 SARLETTO ST
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-5413
Practice Address - Country:US
Practice Address - Phone:941-429-2090
Practice Address - Fax:941-423-3315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10911310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility