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Organization

CONCORDE LOVING CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IDA M. HARRIS (ADMINISTRATOR)
(386) 437-1373
Entity
Organization

Contact information

Practice address
13 POPE LANE, PALM COAST, FL 32164
(386) 437-1373
(386) 437-1703
Mailing address
6 RYLEY LANE, PALM COAST, FL 32164
(386) 437-1373
(386) 586-6095

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL9003
FL
310400000X
Assisted Living Facility
Primary
AL9204
FL

Other

Enumeration date
05/03/2007
Last updated
08/22/2020
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