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Organization
TIMBERLANE LODGE ASSISTED LIVING FACILITY INC.
Active
Organization
TIMBERLANE LODGE ASSISTED LIVING FACILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMELA OWENS (PRESIDENT)
(386) 428-7442
Entity
Organization
Contact information
Practice address
415 S TIMBERLANE DR, NEW SMYRNA BEACH, FL 32168-8261
(386) 428-7442
Mailing address
415 S TIMBERLANE DR, NEW SMYRNA BEACH, FL 32168-8261
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11914
FL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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