Organization
GUIDING LIGHT SENIOR LIVING 2 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORETTA WATERS (ADMINISTRATOR)
(321) 482-9759
Entity
Organization
Contact information
Practice address
1073 HUNT ST NW, PALM BAY, FL 32907-7842
(321) 482-9759
Mailing address
1073 HUNT ST NW, PALM BAY, FL 32907-7842
(321) 482-9759
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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