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Organization
TARANTINO SENIOR LIVING COMMUNITIES, LLC
Active
Organization
TARANTINO SENIOR LIVING COMMUNITIES, LLC
Active
Other names
Lake Forest Park
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MCKINNIE (EXECUTIVE DIRECTOR)
(772) 466-1919
Entity
Organization
Contact information
Practice address
2909 S 25TH ST, FORT PIERCE, FL 34981-5610
(772) 466-1919
(772) 466-1938
Mailing address
2909 S 25TH ST, FORT PIERCE, FL 34981-5610
(772) 466-1919
(772) 466-1938
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL#9993
FL
Other
Enumeration date
09/04/2013
Last updated
01/06/2015
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