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Organization
SALEM HOMES OF FLORIDA, INC.
Active
Organization
SALEM HOMES OF FLORIDA, INC.
Active
Other names
Frederick Avenue Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
325 N FREDERICK AVE, DAYTONA BEACH, FL 32114-2909
(352) 372-0130
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4108095
FL
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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