Organization
PLATINUM OAKS ALF,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH D BASILE (MANAGING MEMBER)
(321) 432-4135
Entity
Organization
Contact information
Practice address
3610 MANASSAS AVE, MELBOURNE, FL 32934-8351
(321) 253-2050
Mailing address
4637 CANARD RD, MELBOURNE, FL 32934-8576
(321) 432-4135
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12134
FL
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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