Organization
SENIOR CARE LIVINGIV LLC
Active
Other names
Inspired Living at Palm Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK C BOULDIN (MANAGER)
(727) 592-8889
Entity
Organization
Contact information
Practice address
350 MALABAR RD SW, PALM BAY, FL 32907-2947
(321) 574-6290
Mailing address
350 MALABAR RD SW, PALM BAY, FL 32907-2947
(321) 574-6290
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL12617
FL
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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