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Organization
PURE RESTORATION ASSISTED LIVING OF CRYSTAL RIVER, LLC
Active
Organization
PURE RESTORATION ASSISTED LIVING OF CRYSTAL RIVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIA DAVID (ADMINISTRATOR/OWNER)
(321) 750-6224
Entity
Organization
Contact information
Practice address
125 NE 9TH AVE, CRYSTAL RIVER, FL 34429-4425
(321) 750-6224
Mailing address
125 NE 9TH AVE, CRYSTAL RIVER, FL 34429-4425
(321) 750-6224
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN705105
—
FL
Enumeration date
03/23/2018
Last updated
12/31/2018
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