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Organization
WINNIFRED ASSISTED LIVING FACILITY
Active
Organization
WINNIFRED ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVINE BARRETT (ADMINISTRATOR)
(321) 821-4699
Entity
Organization
Contact information
Practice address
1302 GINZA RD NW, PALM BAY, FL 32907-7918
(321) 821-4699
(321) 821-4699
Mailing address
1302 GINZA RD NW, PALM BAY, FL 32907-7918
(321) 821-4699
(321) 821-4699
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11950
FL
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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