Organization
HOME SWEET HOME ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ROSE CARLOUGH (OWNER)
(386) 307-2407
Entity
Organization
Contact information
Practice address
36 BRONSON LN, PALM COAST, FL 32137-8725
(386) 307-2407
(386) 302-0289
Mailing address
36 BRONSON LN, PALM COAST, FL 32137-8725
(386) 307-2407
(386) 302-0289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104990100
—
FL
Enumeration date
03/10/2020
Last updated
03/25/2020
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