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Organization

EXTENDING LOVABLE LIVING ASSISTANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA LEVETTE ROBINSON (ADMINISTRATOR)
(321) 245-7096
Entity
Organization

Contact information

Practice address
14514 STORYS FORD RD, ORLANDO, FL 32832-6400
(321) 245-7096
(321) 245-7091
Mailing address
14514 STORYS FORD RD, ORLANDO, FL 32832-6400
(321) 245-7096
(321) 245-7091

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12433
FL

Other

Enumeration date
11/19/2013
Last updated
11/19/2013
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