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Organization

MERLOX HAVEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERITA THOMAS MASON (ADMINISTRATOR)
(718) 344-3828
Entity
Organization

Contact information

Practice address
1653 REGAL OAK DR, KISSIMMEE, FL 34744-6644
(407) 334-6169
(407) 350-4613
Mailing address
3151 GRANADA BLVD, KISSIMMEE, FL 34746-3699
(407) 201-4012
(407) 910-4549

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
310400000X
Assisted Living Facility
AL12291
FL

Other

Enumeration date
08/05/2014
Last updated
11/07/2019
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