Organization
ANGEL'S RETREAT ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA WEAKS (OWNER)
(321) 549-9136
Entity
Organization
Contact information
Practice address
224 GODFREY RD SE, PALM BAY, FL 32909-8816
(321) 549-9136
Mailing address
224 GODFREY RD SE, PALM BAY, FL 32909-8816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12017
FL
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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