Organization
NEW LIFE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL NEWTON (OWNER)
(772) 626-6161
Entity
Organization
Contact information
Practice address
1301 WYOMING AVE, FORT PIERCE, FL 34982
(772) 882-4293
Mailing address
1301 WYOMING AVE, FORT PIERCE, FL 34982-3645
(772) 882-4293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140680900
—
FL
Enumeration date
09/05/2013
Last updated
09/05/2013
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