Organization
ALLIANCE FOUNDATION OF FLORIDA INC
Active
Parent organization
ALLIANCEFOUNDATION OF FLORIDA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCEFOUNDATION OF FLORIDA INC
Authorized official
MR. RANDOLPH L KERNON II LNHA (EXECUTIVE DIRECTOR)
(386) 257-4400
Entity
Organization
Contact information
Practice address
595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32114-7185
(386) 257-4400
(386) 257-4372
Mailing address
595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32114-7185
(386) 257-4400
(386) 257-4372
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL5400
FL
314000000X
Skilled Nursing Facility
Primary
SNF1248096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025875000
—
FL
05
—
685701900
—
FL
Enumeration date
04/26/2006
Last updated
04/07/2014
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