Organization
PREMIUM EDGE, LLC
Active
Other names
Alura by Inspired Living
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE ABREU (RM & COMPLIANCE MANAGER)
(813) 330-2660
Entity
Organization
Contact information
Practice address
777 ROY WALL BLVD, ROCKLEDGE, FL 32955-6217
(321) 549-3980
(844) 808-0071
Mailing address
4301 ANCHOR PLAZA PKWY STE 400, TAMPA, FL 33634-7529
(813) 330-2660
(844) 808-0071
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL13616
AHCA LICENSE
FL
Enumeration date
08/13/2021
Last updated
08/13/2021
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