Pleasant Times Llc

NPI 1053428961 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053428961
Enumeration Date 08/24/2006
Last Updated 01/06/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARTHA BOONE MARTHA
Position OWNER/ADMINISTRATOR
Phone (386) 677-0059
Fax (386) 672-7190
Practice Location
605 ORCHARD AVE
ORMOND BEACH FL, 32174-7525, US
Phone (386) 677-0059
Fax (386) 672-7190
Business Location
605 ORCHARD AVE
ORMOND BEACH FL, 32174-7525, US
Phone (386) 677-0059
Fax (386) 672-7190
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL7714
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According to our database, Pleasant Times Llc NPI is 1053428961, taxonomy code is 310400000X and license number is AL7714, license state is located at Florida. Pleasant Times Llc physically located at 605 Orchard Ave, Ormond Beach FL, 32174-7525. NPI Number 1033115704 has the healthcare provider type.

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1053428961 NPI number is provided on an as is basis without warranty of any kind. 1053428961 is maintained by the National Plan & Provider Enumeration System. The contents of Pleasant Times Llc are for informational purposes only.