Organization
ACADEMY ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAJWANTIE LAL (ADMINASTRATOR)
(772) 460-1211
Entity
Organization
Contact information
Practice address
1225 SOLTMAN AVE, FORT PIERCE, FL 34950-6571
(772) 460-1211
(772) 460-7679
Mailing address
1225 SOLTMAN AVE, FORT PIERCE, FL 34950-6571
(772) 460-1211
(772) 460-7679
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 7824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687422300
—
FL
Enumeration date
09/24/2012
Last updated
09/24/2012
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