Organization
SHANGRI-LA OF MELBOURNE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST ROGER LAPOINTE (ALT. ADMINISTRATOR)
(321) 507-8722
Entity
Organization
Contact information
Practice address
2204 PARSONS AVE, MELBOURNE, FL 32901-5234
(321) 507-8722
(321) 473-8703
Mailing address
2204 PARSONS AVE, MELBOURNE, FL 32901-5234
(321) 507-8722
(321) 473-8703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11162
FL
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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