Organization
SHANGRI-LA ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST ROGER LAPOINTE (ADMINISTRATOR)
(321) 914-0669
Entity
Organization
Contact information
Practice address
997 LYONS CIRCLE NW, PALM BAY, FL 32907-5911
(321) 914-0669
Mailing address
997 LYONS CIRCLE NW, PALM BAY, FL 32907-5911
(321) 914-0669
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003935300
—
FL
Enumeration date
03/15/2012
Last updated
03/15/2012
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