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Organization

FLORIDA SHORES ASSISTED LIVING FACILITY INC.

Active
Other names
Florida Shores of Edgewater ALF
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISABELO NUDALO JR. (OWNER / ADMINISTRATOR)
(386) 428-5370
Entity
Organization

Contact information

Practice address
1229 MANGO TREE DR, EDGEWATER, FL 32132-2005
(386) 428-5370
(386) 428-5370
Mailing address
1229 MANGO TREE DR, EDGEWATER, FL 32132-2005
(386) 428-5370
(386) 428-5370

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8229
FL

Other

Enumeration date
10/11/2008
Last updated
10/11/2008
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