Organization
MARJORIE DOREEN THOMPSON
Active
Other names
Peace Haven ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARJORIE DOREEN THOMPSON (OWNER)
(321) 727-3380
Entity
Organization
Contact information
Practice address
1090 DOUGLAS ST SE, PALM BAY, FL 32909-3833
(321) 727-3380
Mailing address
1090 DOUGLAS ST SE, PALM BAY, FL 32909-3833
(321) 727-3380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000429700
—
FL
Enumeration date
02/19/2015
Last updated
02/19/2015
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