Organization
PLEASANT TIMES LLC
Active
Other names
kozy korner
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA BOONE BLUMENAUER LPN (OWNER/ADMINISTRATOR)
(386) 677-0059
Entity
Organization
Contact information
Practice address
605 ORCHARD AVE, ORMOND BEACH, FL 32174-7525
(386) 677-0059
(386) 672-7190
Mailing address
605 ORCHARD AVE, ORMOND BEACH, FL 32174-7525
(386) 677-0059
(386) 672-7190
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7714
FL
Other
Enumeration date
08/24/2006
Last updated
01/06/2009
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