Organization
BALMORAL ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOREEN O. EGAN (CONTROLLER)
(863) 465-6584
Entity
Organization
Contact information
Practice address
93 BALMORAL DR, LAKE PLACID, FL 33852-7000
(863) 465-6584
(863) 465-6585
Mailing address
93 BALMORAL DR, LAKE PLACID, FL 33852-7000
(863) 465-6584
(863) 465-6585
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003688600
—
FL
Enumeration date
04/25/2012
Last updated
04/25/2012
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