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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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