Organization
CARING MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE AYCOCK (ADMINISTRATOR)
(321) 759-1567
Entity
Organization
Contact information
Practice address
1863 EDITH ST NE, PALM BAY, FL 32907
(321) 759-1567
Mailing address
1863 EDITH ST NE, PALM BAY, FL 32907-2448
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L16000097231
LIMITED LIABILITY COMPANY
FL
Enumeration date
06/08/2017
Last updated
06/08/2017
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