Florida Assistant Living Organization, LLC

NPI #1194135525 in Madison, Florida

Provider Information

NPI Number: 1194135525
Entity Type: Organization
Organization Name: Florida Assistant Living Organization, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: May 7, 2014
Last Updated: May 7, 2014

Practice Location

Address: 219 SE ABERNATHY WAY
City: Madison
State: Florida
ZIP Code: 32340-7044
Phone: (850) 973-2415

Authorized Official

Name: WILLIE M. PEACOCK
Title: ADMINISTRATOR
Phone: (850) 973-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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