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NPI Code Detail

MEDICARE: THE CABANA AT JENSEN DUNES, LLC

MEDICARE: THE CABANA AT JENSEN DUNES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1487324729
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CABANA AT JENSEN DUNES, LLC
Provider Business Mailing Address
First Line : 6710 PROFESSIONAL PKWY W
Second Line : SUITE 301
City : SARASOTA
State : FL
Zip : 34240-8588
Country : US
Telephone Number : 941-260-3922
Fax Number :
Provider Business Practice Location Address
First Line : 1537 NE CEDAR ST
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-4808
Country : US
Telephone Number : 772-332-1000
Fax Number :
Authorized Official
Title or Position : COMPLIANCE COUNSEL
Name : MR. KARL DAVID ACUFF
Credential :
Telephone Number : 850-671-2644
Provider Enumeration Date : 09/17/2021
Last Update Date : 09/17/2021

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Directions to “THE CABANA AT JENSEN DUNES, LLC ” Practice Location

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