Organization
CANALVIEW REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILOU HURLBURT (OWNER)
(386) 756-5516
Entity
Organization
Contact information
Practice address
864 CANAL VIEW BLVD, PORT ORANGE, FL 32129-4206
(386) 756-5516
Mailing address
864 CANAL VIEW BLVD, PORT ORANGE, FL 32129-4206
(386) 756-5516
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8361
FL
Other
Enumeration date
09/07/2013
Last updated
09/07/2013
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