Organization
ORCHID ISLAND MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE E. LUBRANO (OWNER)
(772) 567-6769
Entity
Organization
Contact information
Practice address
1914 21ST ST, VERO BEACH, FL 32960-3489
(772) 567-6769
(772) 567-5289
Mailing address
1914 21ST ST, VERO BEACH, FL 32960-3489
(772) 567-6769
(772) 567-5289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677642600
—
FL
Enumeration date
09/26/2012
Last updated
09/26/2012
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