Organization
PALATKA LPOC, LLC
Active
Other names
Vintage Care of Palatka
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E MOSELY (EXECUTIVE DIRECTOR)
(386) 329-9905
Entity
Organization
Contact information
Practice address
203 S MOODY RD, PALATKA, FL 32177-3903
(386) 329-9905
(386) 329-9906
Mailing address
203 S MOODY RD, PALATKA, FL 32177-3903
(386) 329-9905
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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