House Of Light Senior Living Ii

NPI 1053735514 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053735514
Enumeration Date 02/04/2014
Last Updated 02/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VIVIENE CORNETTA VIVIENE
Position ADMINISTRATOR
Phone (321) 914-3658
Fax (321) 237-3292
Practice Location
839 CHELSEA AVE NE
PALM BAY FL, 32905-5229, US
Phone (321) 914-3658
Fax (321) 237-3292
Business Location
839 CHELSEA AVE NE
PALM BAY FL, 32905-5229, US
Phone (321) 914-3658
Fax (321) 237-3292
Toxanomy
Taxonomy Code 310400000X
License State
License Number
Remove 1053735514 NPI Number
 

According to our database, House Of Light Senior Living Ii NPI is 1053735514, taxonomy code is 310400000X House Of Light Senior Living Ii physically located at 839 Chelsea Ave Ne, Palm Bay FL, 32905-5229. NPI Number 1033115704 has the healthcare provider type.

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1053735514 NPI number is provided on an as is basis without warranty of any kind. 1053735514 is maintained by the National Plan & Provider Enumeration System. The contents of House Of Light Senior Living Ii are for informational purposes only.