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Organization
TENDER AT HEART ASSISTED LIVING FACILITY I
Active
Organization
TENDER AT HEART ASSISTED LIVING FACILITY I
Active
Parent organization
TENDER AT HEART ASSISTED LIVING FACILITY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENDER AT HEART ASSISTED LIVING FACILITY INC
Authorized official
JENNY-ANN JOHNSON (ADMINISTRATOR)
(321) 614-0414
Entity
Organization
Contact information
Practice address
1592 GLENCOVE AVE NW, PALM BAY, FL 32907-8609
(321) 614-0414
Mailing address
1592 GLENCOVE AVE NW, PALM BAY, FL 32907-8609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL13090
ASSISTED LIVING FACILITY
—
Enumeration date
12/21/2018
Last updated
12/21/2018
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