Organization
SPRUCE CREEK ASSISTED LIVING FACILITY , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMELA SUE OWENS (ADMINISTRATOR)
(386) 527-3781
Entity
Organization
Contact information
Practice address
260 SPRING FOREST DR, NEW SMYRNA BEACH, FL 32168-8700
(386) 527-3781
Mailing address
260 SPRING FOREST DR, NEW SMYRNA BEACH, FL 32168-8700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12422
FL
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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