Organization
LEXELLE ASSISTED LIVING FACILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL SUMERGIDO (OWNER/ADMINISTRATOR)
(386) 793-9178
Entity
Organization
Contact information
Practice address
66 PATRIC DRIVE, PALM COAST, FL 32164
(386) 597-2592
(386) 597-2592
Mailing address
66 PATRIC DRIVE, PALM COAST, FL 32164
(386) 597-2592
(386) 597-2592
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9356
FL
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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