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Organization

NEW LIFE ASSISTED LIVING, INC.

Active
Other names
New Life Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
ETHEL NEWTON (OWNER)
(772) 337-0058
Entity
Organization

Contact information

Practice address
2133 SHELTER DRIVE, PORT ST. LUCIE, FL 34952
(772) 337-0058
(772) 398-4238
Mailing address
2133 SHELTER DRIVE, PORT ST. LUCIE, FL 34952
(772) 337-0058
(772) 398-4238

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8982
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140680900
FL
Enumeration date
12/17/2010
Last updated
12/22/2010
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