Organization
A BEACON HAVEN ALF
Active
Other names
A Beacon Haven LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE LAWRENCE (ADMINISTRATOR)
(561) 513-9493
Entity
Organization
Contact information
Practice address
13674 STAIMFORD DR, WELLINGTON, FL 33414-8939
(561) 513-9493
Mailing address
13674 STAIMFORD DR, WELLINGTON, FL 33414-8939
(561) 513-9493
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 12903
FL
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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