Organization
NOKOMIS ASSISTED LIVING
Active
Parent organization
BRUCE-LAMPLEY HOMES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRUCE-LAMPLEY HOMES, LLC
Authorized official
KEVON BRUCE (MANAGING MEMBER)
(412) 401-7109
Entity
Organization
Contact information
Practice address
336 MONET DR, NOKOMIS, FL 34275-1357
(412) 401-7109
Mailing address
1116 PIEDMONT AVE NE APT 6, ATLANTA, GA 30309-5010
(412) 401-7109
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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