Organization
MOORE CARE ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA MONIQUE DOUGLAS-MOORE L.P.N. (ADMINISTRATOR)
(561) 603-1032
Entity
Organization
Contact information
Practice address
1291 W 32ND ST, RIVIERA BEACH, FL 33404-3559
(561) 840-1627
(561) 840-1613
Mailing address
1291 W 32ND ST, RIVIERA BEACH, FL 33404-3559
(561) 840-1627
(561) 840-1613
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12054
FL
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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