Organization
SHANGRI-LA OF PALM BAY ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONIQUE MARIE STURM (OWNER MANAGER)
(954) 937-8224
Entity
Organization
Contact information
Practice address
3604 JUPITER BLVD. SE, PALM BAY, FL 32909
(954) 937-8224
Mailing address
4975 DIXIE HWY NE UNIT 503, PALM BAY, FL 32905-6083
(321) 728-8659
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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