Organization
PRESTIGE PLACE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBSILYN DUNCAN (OWNER/ADMINISTRATOR)
(321) 724-6040
Entity
Organization
Contact information
Practice address
256 BARBAROSSA RD NW, PALM BAY, FL 32907-1809
(321) 724-6040
Mailing address
256 BARBAROSSA RD NW, PALM BAY, FL 32907-1809
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12968
FL
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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