Organization
PATH OF LIFE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HERNANDEZ (ADMINISTRATOR)
(305) 282-2620
Entity
Organization
Contact information
Practice address
1240 SUMMERWOOD CIR, WELLINGTON, FL 33414-5147
(561) 798-5794
Mailing address
5800 GUN CLUB RD, WEST PALM BEACH, FL 33415-2508
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12696
FL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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