Organization
STILLWATER ALF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH L LEWIS SR. (ADMINISTRATOR)
(321) 684-3691
Entity
Organization
Contact information
Practice address
2881 QUENTIN AVE SE, PALM BAY, FL 32909-9225
(321) 914-3688
(321) 914-3689
Mailing address
2881 QUENTIN AVE SE, PALM BAY, FL 32909-9225
(321) 914-3688
(321) 914-3689
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10861
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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