Organization
HANNAH'S HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE LIGHTBOURNE (ADMINISTRATOR/OWNER)
(954) 993-0244
Entity
Organization
Contact information
Practice address
997 LYONS CIR NW, PALM BAY, FL 32907-5911
(954) 993-0244
Mailing address
997 LYONS CIR NW, PALM BAY, FL 32907-5911
(954) 993-0244
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12037
FL
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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