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Organization
VANDERBILT BEACH ASSISTED LIVING FACILITY,LLC
Active
Organization
VANDERBILT BEACH ASSISTED LIVING FACILITY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LYNN MEDRANO LPN (OWNER/ADMINISTRATOR)
(239) 910-2283
Entity
Organization
Contact information
Practice address
517 100TH AVE N, NAPLES, FL 34108-2235
(239) 597-5177
(239) 514-7253
Mailing address
517 100TH AVE N, NAPLES, FL 34108-2235
(239) 597-5177
(239) 514-7253
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5582
FL
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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