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Organization
TITUSVILLE SENIOR LIVING PARTNERS, LLC
Active
Organization
TITUSVILLE SENIOR LIVING PARTNERS, LLC
Active
Other names
Benton House of Titusville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY BEVILLE (EXECUTIVE DIRECTOR)
(321) 383-2112
Entity
Organization
Contact information
Practice address
497 N WASHINGTON AVE, TITUSVILLE, FL 32796-2839
(321) 383-2112
Mailing address
497 N WASHINGTON AVE, TITUSVILLE, FL 32796-2839
(321) 383-2112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11575
ACHA
FL
Enumeration date
01/12/2011
Last updated
01/12/2011
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