Organization
ALTERNATIVE LIVING, INC.
Active
Other names
Twin Cities Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH R. LOVEJOY (ADMINISTRATOR)
(850) 833-9165
Entity
Organization
Contact information
Practice address
1053 JOHN SIMS PARKWAY, NICEVILLE, FL 32578
(850) 833-9212
(850) 833-9389
Mailing address
207 HOSPITAL DRIVE, FORT WALTON BEACH, FL 32548
(850) 833-9165
(950) 833-9389
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676877601
—
FL
Enumeration date
08/02/2011
Last updated
08/02/2011
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