Organization
ALLCIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ROSE (ADMINISTRATOR)
(321) 693-9355
Entity
Organization
Contact information
Practice address
4457 PARKWAY DR, MELBOURNE, FL 32934-7767
(321) 610-3686
(321) 600-4006
Mailing address
4457 PARKWAY DR, MELBOURNE, FL 32934-7767
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12741
FL
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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