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Organization

PURE RESTORATION ASSISTED LIVING OF CRYSTAL RIVER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCIA DAVID (ADMINISTRATOR/OWNER)
(321) 750-6224
Entity
Organization

Contact information

Practice address
125 NE 9TH AVE, CRYSTAL RIVER, FL 34429-4425
(321) 750-6224
Mailing address
125 NE 9TH AVE, CRYSTAL RIVER, FL 34429-4425
(321) 750-6224

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ATN705105
FL
Enumeration date
03/23/2018
Last updated
12/31/2018
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