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Organization

AVALON FAMILY RESORT ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERICA BROWN (OWNER/ADMINISTRATOR)
(561) 929-8096
Entity
Organization

Contact information

Practice address
160 SW SARATOGA AVE, PORT ST LUCIE, FL 34953-5977
(561) 929-8096
Mailing address
160 SW SARATOGA AVE, PORT ST LUCIE, FL 34953-5977
(561) 929-8096

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13176
FL

Other

Enumeration date
07/09/2018
Last updated
07/09/2018
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