Organization
ANGEL OF LIGHT ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISOLYN BISHOP (ADMINISTRATOR)
(772) 501-0144
Entity
Organization
Contact information
Practice address
613 SW HOMELAND RD, PORT ST LUCIE, FL 34953-6263
(772) 353-5885
(772) 353-5890
Mailing address
613 SW HOMELAND RD, PORT ST LUCIE, FL 34953-6263
(772) 353-5885
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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