# MARIE A ALEXIS ADULT FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922763416
- **Authorized official:** MARIE ANTOINETTE ALEXIS (CEO/ADMINISTRATOR)
- **Authorized official phone:** (386) 338-7974

## Contact information

- **Practice address:** 63 RYBERRY DR, PALM COAST, FL 32164-6438
- **Practice address phone:** (386) 338-7974
- **Practice address fax:** (386) 263-7649
- **Mailing address:** 63 RYBERRY DR, PALM COAST, FL 32164-6438
- **Mailing address phone:** (386) 338-7974
- **Mailing address fax:** (386) 263-7649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2021
- **Last updated:** 02/07/2022