Organization
SMYRNA WEST ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B THOMAS (PRESIDENT)
(386) 409-7993
Entity
Organization
Contact information
Practice address
301 MILFORD PL, NEW SMYRNA BEACH, FL 32168-6826
(386) 409-7993
Mailing address
PO BOX 2819, NEW SMYRNA BEACH, FL 32170-2819
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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