Organization
ACTIVE CARE ASSISTED LIVING FACILITY
Active
Other names
Active care Assisted living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL PATTERSON B.S. (OWNER/ADMINISTRATOR)
(321) 948-5569
Entity
Organization
Contact information
Practice address
2436 LAKE JACKSON CIR, APOPKA, FL 32703-5846
(321) 948-5569
Mailing address
2436 LAKE JACKSON CIR, APOPKA, FL 32703-5846
(321) 948-5569
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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