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SHARICKS DECK RETIREMENT RANCH NPI 1184853640


NPI Information

NPI: 1184853640
Provider Name: SHARICKS DECK RETIREMENT RANCH

Doing Business As: SHARICKS DECK RETIREMENT RANCH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4506 BRUTON RD
PLANT CITY, FL
ZIP 33565
Phone: (813) 754-5223
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SHARICKS DECK RETIREMENT RANCH is an assisted living facility in Plant City, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SHARICKS DECK RETIREMENT RANCH NPI is 1184853640. The provider is registered as an organization entity type.
The provider Is Doing Business As Sharicks Deck Retirement Ranch.

The provider's business location address is:

4506 BRUTON RD
PLANT CITY, FL
ZIP 33565-029
Phone: (813) 754-5223
Fax: (813) 752-9265

The provider's authorized official is Nicolas Antonio Ciccarello .
The authorized official title is Owner and has the following contact phone number (813) 754-5223.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 6/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL5335FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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