Organization
AMAZING GACE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYTLE (OWNER/ADMINISTRATOR)
(561) 818-5790
Entity
Organization
Contact information
Practice address
2685 CARAMBOLA RD, WEST PALM BEACH, FL 33406-5106
(561) 357-9559
Mailing address
2685 CARAMBOLA RD, WEST PALM BEACH, FL 33406-5106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12171
FL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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