Organization
ALLEGIANCE PROPERTIES 1 INC
Active
Other names
Eastbrooke Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS MATTHEW KLINOWSKI (VICE PRESIDENT)
(407) 699-5002
Entity
Organization
Contact information
Practice address
201 N SUNSET DR, CASSELBERRY, FL 32707-2947
(407) 699-5002
Mailing address
201 N SUNSET DR, CASSELBERRY, FL 32707-2947
(407) 699-5002
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686580100
—
FL
Enumeration date
05/23/2008
Last updated
05/23/2008
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