Organization
SHANGRI-LA III ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST ROGER LAPOINTE (ADMINISTRATOR)
(321) 507-8722
Entity
Organization
Contact information
Practice address
808 GILLEN AVE NW, PALM BAY, FL 32907-7781
(321) 914-0274
(321) 473-8703
Mailing address
808 GILLEN AVE NW, PALM BAY, FL 32907-7781
(321) 914-0274
(321) 473-8703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12391
FL
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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