Florida Shores Assisted Living Facility Inc.

NPI #1346492121 in Edgewater, Florida

Provider Information

NPI Number
1346492121
Entity Type
Organization
Organization Name
Florida Shores Assisted Living Facility Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 11, 2008
Last Updated
Oct 11, 2008

Practice Location

Address
1229 MANGO TREE DR
State
Florida
ZIP Code
32132-2005
Phone
(386) 428-5370

Authorized Official

Name
MR. ISABELO NUDALO JR.
Title
OWNER / ADMINISTRATOR
Phone
(386) 428-5370

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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