Organization
ACTS RETIREMENT-LIFE COMMUNITIES INC.
Active
Other names
Willow Brooke Court at Azalea Trace
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN AHERN (SVP, CFO)
(215) 661-8330
Entity
Organization
Contact information
Practice address
10100 HILLVIEW DRIVE, PENSACOLA, FL 32514-5799
(850) 478-5200
(850) 474-0558
Mailing address
420 DELAWARE DR, FORT WASHINGTON, PA 19034-2711
(215) 661-8330
(215) 661-8316
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1029096
FL
314000000X
Skilled Nursing Facility
Primary
1029096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009615000
—
FL
01
—
591932549
TRI CARE
—
01
—
N51
BLUE CROSS
—
Enumeration date
06/27/2006
Last updated
02/20/2024
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