Organization
LIVE LIFE ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA HENDERSON (OWNER)
(850) 363-1961
Entity
Organization
Contact information
Practice address
177 POWER LINE RD, QUINCY, FL 32352-5002
(850) 363-1961
Mailing address
177 POWER LINE RD, QUINCY, FL 32352-5002
(850) 363-1961
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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