Organization
ASSISTED LOVELY LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RENITA BUCHANAN (ADMINISTRATOR/OWNER)
(321) 984-8882
Entity
Organization
Contact information
Practice address
1702 TRIMBLE RD, MELBOURNE, FL 32934-9034
(321) 984-8882
Mailing address
2214 MISTY WAY LN, MELBOURNE, FL 32935-1455
(321) 984-8882
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12837
ACHA
FL
Enumeration date
07/05/2016
Last updated
07/05/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up