Fountains Boca Ciega Sl, Llc

NPI 1790100501 - Assisted Living Facility - 310400000X

NPI Details
NPI 1790100501
Enumeration Date 03/03/2014
Last Updated 07/16/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID DAVID
Position VP, ASST TREASURER, ASST SECRETARY
Phone (727) 381-5411
Fax
Practice Location
1255 PASADENA AVE S
SOUTH PASADENA FL, 33707-6203, US
Phone (727) 381-5411
Fax
Business Location
1255 PASADENA AVE S
SOUTH PASADENA FL, 33707-6203, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL83
Remove 1790100501 NPI Number
 

According to our database, Fountains Boca Ciega Sl, Llc NPI is 1790100501, taxonomy code is 310400000X and license number is AL83, license state is located at Florida. Fountains Boca Ciega Sl, Llc physically located at 1255 Pasadena Ave S, South Pasadena FL, 33707-6203. NPI Number 1033115704 has the healthcare provider type.

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1790100501 NPI number is provided on an as is basis without warranty of any kind. 1790100501 is maintained by the National Plan & Provider Enumeration System. The contents of Fountains Boca Ciega Sl, Llc are for informational purposes only.