Organization
NEW SMYRNA BEACH ASSISTED LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMELA S OWENS (PRESIDENT)
(386) 527-3781
Entity
Organization
Contact information
Practice address
5 FAIRGREEN AVE, NEW SMYRNA BEACH, FL 32168-6112
(386) 410-3201
Mailing address
260 SPRING FOREST DR, NEW SMYRNA BEACH, FL 32168-8700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12638
FL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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