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Organization

SHANGRI-LA AT LOCKMAR ALF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERNEST ROGER LAPOINTE (ALT. ADMINISTRATOR)
(321) 507-8722
Entity
Organization

Contact information

Practice address
817 NEVADA DR NE, PALM BAY, FL 32907-1479
(321) 327-7806
(321) 327-7927
Mailing address
132 ASCEND CIR UNIT 9103, WEST MELBOURNE, FL 32904-8751
(321) 507-8722
(321) 821-1395

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/10/2024
Last updated
04/10/2024
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