Principal Senior Living Group

NPI 1255776811 - Assisted Living Facility - 310400000X

NPI Details
NPI 1255776811
Enumeration Date 05/08/2013
Last Updated 05/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHELLEY ANN SHELLEY
Position EXECUTIVE DIRECTOR
Phone (321) 383-2112
Fax (321) 383-1058
Practice Location
497 N WASHINGTON AVE
TITUSVILLE FL, 32796-2839, US
Phone (321) 383-2112
Fax (321) 383-1058
Business Location
497 N WASHINGTON AVE
TITUSVILLE FL, 32796-2839, US
Phone (321) 383-2112
Fax (321) 383-1058
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number 11575
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According to our database, Principal Senior Living Group NPI is 1255776811, taxonomy code is 310400000X and license number is 11575, license state is located at Florida. Principal Senior Living Group physically located at 497 N Washington Ave, Titusville FL, 32796-2839. NPI Number 1033115704 has the healthcare provider type.

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1255776811 NPI number is provided on an as is basis without warranty of any kind. 1255776811 is maintained by the National Plan & Provider Enumeration System. The contents of Principal Senior Living Group are for informational purposes only.