Organization
MARIE A ALEXIS ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ANTOINETTE ALEXIS (CEO/ADMINISTRATOR)
(386) 338-7974
Entity
Organization
Contact information
Practice address
63 RYBERRY DR, PALM COAST, FL 32164-6438
(386) 338-7974
(386) 263-7649
Mailing address
63 RYBERRY DR, PALM COAST, FL 32164-6438
(386) 338-7974
(386) 263-7649
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
02/07/2022
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