Organization
LA GRAND BELLE ESTATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TRAVARIS SPRADLEY (ONWER/ ADMINISTRATOR)
(786) 200-8897
Entity
Organization
Contact information
Practice address
5898 ORCHARD POND RD, TALLAHASSEE, FL 32303-8200
(786) 200-8897
Mailing address
5898 ORCHARD POND RD, TALLAHASSEE, FL 32303-8200
(786) 200-8897
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11123
FL
Other
Enumeration date
11/05/2008
Last updated
03/25/2009
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