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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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