Concorde Loving Care, Inc.

NPI 1063634731 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063634731
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IDA M. IDA
Position ADMINISTRATOR
Phone (386) 437-1373
Fax (386) 437-1703
Practice Location
13 POPE LANE
PALM COAST FL, 32164, US
Phone (386) 437-1373
Fax (386) 437-1703
Business Location
6 RYLEY LANE
PALM COAST FL, 32164, US
Phone (386) 437-1373
Fax (386) 586-6095
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL9003
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According to our database, Concorde Loving Care, Inc. NPI is 1063634731, taxonomy code is 310400000X and license number is AL9003, license state is located at Florida. Concorde Loving Care, Inc. physically located at 13 Pope Lane, Palm Coast FL, 32164. NPI Number 1033115704 has the healthcare provider type.

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1063634731 NPI number is provided on an as is basis without warranty of any kind. 1063634731 is maintained by the National Plan & Provider Enumeration System. The contents of Concorde Loving Care, Inc. are for informational purposes only.