Organization
INNOVATE ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVIA BLACKWOOD RN (ADMINISTRATOR)
(305) 321-1904
Entity
Organization
Contact information
Practice address
5586 SE COLLINS AVE, STUART, FL 34997-8062
(305) 321-1904
Mailing address
5586 SE COLLINS AVE, STUART, FL 34997-8062
(305) 321-1904
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12885
FL
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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