Organization
GRACE LYNE ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE DELALEU (PRESIDENT)
(813) 315-8769
Entity
Organization
Contact information
Practice address
1305 BRANDONWOOD DR, BRANDON, FL 33510-2604
(813) 315-8769
(813) 315-8770
Mailing address
1305 BRANDONWOOD DR, BRANDON, FL 33510-2604
(813) 315-8769
(813) 315-8770
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11292
FL
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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