Organization
A & C LIVING FAITH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLINE LOUIS JEAN (OWNER/ADMINISTRATOR)
(321) 557-7219
Entity
Organization
Contact information
Practice address
578 FELLENZ ST SW, PALM BAY, FL 32908-4780
(321) 557-7219
(321) 241-2972
Mailing address
578 FELLENZ ST SW, PALM BAY, FL 32908-4780
(786) 501-0387
(321) 241-2972
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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