Organization
MEMORIES ADULT DAY CARE CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS D. WHITE-JOHNSON (ADMINISTRATOR)
(561) 598-0786
Entity
Organization
Contact information
Practice address
124 W 13TH ST, RIVIERA BEACH, FL 33404-6844
(561) 598-0786
Mailing address
124 W 13TH ST, RIVIERA BEACH, FL 33404-6844
(561) 598-0786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12563
FL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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