Organization
PAMPERED PARENTS, ALF, INC.
Active
Parent organization
PAMPERED PARENTS, ALF, INC.
Other names
Pampered Parents, ALF
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAMPERED PARENTS, ALF, INC.
Authorized official
MS. SUSANNA SANFORD KNIGHT CNA (PRESIDENT/ADMINISTRATOR)
(407) 256-6070
Entity
Organization
Contact information
Practice address
6 SETON CT, PALM COAST, FL 32164-4430
(386) 313-6428
(386) 313-1679
Mailing address
3600 S OCEANSHORE BLVD, SUITE 314, FLAGLER BEACH, FL 32136-4100
(407) 256-6070
(386) 313-1676
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12487
AHCA LICENSE
FL
Enumeration date
09/10/2014
Last updated
09/10/2014
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