Platinum Oaks Alf,llc

NPI 1225389612 - Assisted Living Facility - 310400000X

NPI Details
NPI 1225389612
Enumeration Date 09/25/2012
Last Updated 09/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEBORAH D DEBORAH
Position MANAGING MEMBER
Phone (321) 253-2050
Fax
Practice Location
3610 MANASSAS AVE
MELBOURNE FL, 32934-8351, US
Phone (321) 253-2050
Fax
Business Location
4637 CANARD RD
MELBOURNE FL, 32934-8576, US
Phone (321) 432-4135
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL12134
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According to our database, Platinum Oaks Alf,llc NPI is 1225389612, taxonomy code is 310400000X and license number is AL12134, license state is located at Florida. Platinum Oaks Alf,llc physically located at 3610 Manassas Ave, Melbourne FL, 32934-8351. NPI Number 1033115704 has the healthcare provider type.

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1225389612 NPI number is provided on an as is basis without warranty of any kind. 1225389612 is maintained by the National Plan & Provider Enumeration System. The contents of Platinum Oaks Alf,llc are for informational purposes only.