Tiffany Lake Care Centers, Inc

NPI 1225378730 - Assisted Living Facility - 310400000X

NPI Details
NPI 1225378730
Enumeration Date 02/20/2013
Last Updated 02/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DESIREE A DESIREE
Position OWNER/ADMINISTRATOR
Phone (386) 423-1120
Fax
Practice Location
402 N RIVERSIDE DR
NEW SMYRNA BEACH FL, 32168-6740, US
Phone (386) 423-1120
Fax
Business Location
402 N RIVERSIDE DR
NEW SMYRNA BEACH FL, 32168-6740, US
Phone (386) 423-1120
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number 8788
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According to our database, Tiffany Lake Care Centers, Inc NPI is 1225378730, taxonomy code is 310400000X and license number is 8788, license state is located at Florida. Tiffany Lake Care Centers, Inc physically located at 402 N Riverside Dr, New Smyrna Beach FL, 32168-6740. NPI Number 1033115704 has the healthcare provider type.

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1225378730 NPI number is provided on an as is basis without warranty of any kind. 1225378730 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Lake Care Centers, Inc are for informational purposes only.