Florida Shores Of Melbourne Assisted Living Inc.

NPI 1710229976 - Assisted Living Facility - 310400000X

NPI Details
NPI 1710229976
Enumeration Date 03/26/2013
Last Updated 03/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RONEL HARESCO RONEL
Position ADMINISTRATOR
Phone (321) 745-9000
Fax (321) 726-8070
Practice Location
2155 KEYSTONE AVE
MELBOURNE FL, 32904-6146, US
Phone (321) 745-9000
Fax (321) 726-8070
Business Location
2155 KEYSTONE AVE
MELBOURNE FL, 32904-6146, US
Phone (321) 745-9000
Fax (321) 726-8070
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL7324
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According to our database, Florida Shores Of Melbourne Assisted Living Inc. NPI is 1710229976, taxonomy code is 310400000X and license number is AL7324, license state is located at Florida. Florida Shores Of Melbourne Assisted Living Inc. physically located at 2155 Keystone Ave, Melbourne FL, 32904-6146. NPI Number 1033115704 has the healthcare provider type.

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1710229976 NPI number is provided on an as is basis without warranty of any kind. 1710229976 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Shores Of Melbourne Assisted Living Inc. are for informational purposes only.