Shady Lane

LBN: Woodenshoe Retreat Inc.
Shady Lane is an health care organization with primary practice located at 2560 Shady Ln , Orange City FL 32763-9118. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Woodenshoe Retreat Inc. can be contacted via phone (386) 775-4453, or through Hill, Jim Dale via phone (386) 775-4453.

Contact Information

Primary practice address
2560 Shady Ln Orange City FL 32763-9118
Phone: (386) 775-4453
Fax: (386) 775-4454
Website:
Map and Directions
Authorized official contact:
Name: Hill, Jim Dale
Phone: (386) 775-4453

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9351 Florida

Profile Details

NPI number 1255582912
LBN Legal business name Woodenshoe Retreat Inc.
DBA Doing business as Shady Lane
Authorized official Hill, Jim Dale
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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