Organization
DIVINE LIVING ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADJI D WILLIAMS (ADMINISTRATOR)
(321) 622-4615
Entity
Organization
Contact information
Practice address
471 NEPTUNE DR NE, PALM BAY, FL 32907-1508
(321) 622-4615
Mailing address
4630 DECATUR CIR, MELBOURNE, FL 32934-7290
(321) 622-4615
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12360
FL
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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