Fairgreen Assisted Living Inc.
NPI #1184059750 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1184059750
- Entity Type
- Organization
- Organization Name
- Fairgreen Assisted Living Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 13, 2013
- Last Updated
- Sep 13, 2013
Practice Location
- Address
- 1150 WAYNE AVE.
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168
- Phone
- (386) 428-3018
Authorized Official
- Name
- MRS. JESUSA H. KEPLER, R.N.
- Title
- OWNER/ADMINISTRATOR
- Phone
- (386) 428-3018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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