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Organization

LASALLE TLC ASSISTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY HAYES WILLIAMS (ADMINISTRATOR)
(772) 501-4756
Entity
Organization

Contact information

Practice address
585 ALLEN DR, MERRITT ISLAND, FL 32952-4990
(772) 501-4756
(321) 806-4601
Mailing address
585 ALLEN DR, MERRITT ISLAND, FL 32952-4990
(772) 501-4756
(321) 806-4601

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12721
FL

Other

Enumeration date
09/13/2015
Last updated
09/13/2015
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