Organization
SENIOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W CHERRY II J.D., M.B.A. (SENIOR ADMINISTRATOR)
(813) 267-7342
Entity
Organization
Contact information
Practice address
619 ORANGE AVE, DAYTONA BEACH, FL 32114-4786
(813) 319-0961
Mailing address
PO BOX 48857, TAMPA, FL 33646-0124
(813) 319-0961
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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