Organization
K & S TENDER CARE 11
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERYL VACCIANNA (PRESIDENT)
(321) 557-6588
Entity
Organization
Contact information
Practice address
226 ABALONE ROAD NE, PALM BAY, FL 32907
(321) 557-6592
Mailing address
226 ABALONE ROAD NE, PALM BAY, FL 32907
(321) 557-6592
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12830
FL
Other
Enumeration date
07/20/2016
Last updated
07/21/2016
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