Organization
QUEEN ELAINE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE DAMEUS (ADMINISTRATION)
(954) 793-3537
Entity
Organization
Contact information
Practice address
1210 QUEEN ELAINE DR, CASSELBERRY, FL 32707-3935
(407) 790-7050
Mailing address
1210 QUEEN ELAINE DR, CASSELBERRY, FL 32707-3935
(407) 790-7050
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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