Organization
PRINCIPAL SENIOR LIVING GROUP
Active
Other names
Benton House of Titusville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY ANN BEVILLE (EXECUTIVE DIRECTOR)
(321) 383-2112
Entity
Organization
Contact information
Practice address
497 N WASHINGTON AVE, TITUSVILLE, FL 32796-2839
(321) 383-2112
(321) 383-1058
Mailing address
497 N WASHINGTON AVE, TITUSVILLE, FL 32796-2839
(321) 383-2112
(321) 383-1058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11575
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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