Organization
AUTUMN BREEZE ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE POSSIBLE (OWNER)
(863) 242-5544
Entity
Organization
Contact information
Practice address
904 LAKE MARTHA DR NE, WINTER HAVEN, FL 33881-4278
(863) 292-0780
(863) 291-0808
Mailing address
904 LAKE MARTHA DR NE, WINTER HAVEN, FL 33881-4278
(863) 292-0780
(863) 291-0808
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11309
FL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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