OrganizationActive
Nic 4 Sunset Lake Leasing
NPI 1285078659 · Assisted Living Facility · Venice, FL
Nic 4 Sunset Lake Leasing is a Assisted Living Facility organization in Venice, FL (NPI 1285078659).
Provider details
- NPI number
- 1285078659
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Ryu, President/Ceo/Cfo(212) 479-5270
- License
- 9325 (FL)
Practice location
1121 Jacaranda Blvd.
Venice, FL 34292
Phone: (941) 497-1117
Fax: (941) 492-3455
Street-level locationGet directions
Mailing address
C/O Holiday Retirement, Po Box 1700
Lake Oswego, OR 97035
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2016-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.