Organization
SHANGRI-LA II ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST ROGER LAPOINTE (ADMINISTRATOR)
(321) 507-8722
Entity
Organization
Contact information
Practice address
1212 CORAL REEF AVE NW, PALM BAY, FL 32907-8049
(321) 914-0301
Mailing address
1212 CORAL REEF AVE NW, PALM BAY, FL 32907-8049
(321) 914-0301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12136
FL
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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