Organization
CREATIVE LIVING CENTERS, INC
Active
Other names
cove manor retirement
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERNA LAMORE CONNOR (DIRECTOR)
(850) 763-3655
Entity
Organization
Contact information
Practice address
521 E BEACH DR, PANAMA CITY, FL 32401-3247
(850) 763-3655
(850) 763-9048
Mailing address
521 E BEACH DR, PANAMA CITY, FL 32401-3247
(850) 763-3655
(850) 763-9048
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL5888
FL
3104A0625X
Assisted Living Facility (Mental Illness)
140191200
FL
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL5888
FL
311Z00000X
Custodial Care Facility
AL5888
FL
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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