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Organization
TIFFANY LAKE CARE CENTERS, INC
Active
Organization
TIFFANY LAKE CARE CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESIREE A CULVER (OWNER/ADMINISTRATOR)
(386) 689-2030
Entity
Organization
Contact information
Practice address
402 N RIVERSIDE DR, NEW SMYRNA BEACH, FL 32168-6740
(386) 423-1120
Mailing address
402 N RIVERSIDE DR, NEW SMYRNA BEACH, FL 32168-6740
(386) 423-1120
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8788
FL
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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