Amazing Grace Assisted Living Home III LLC
NPI #1356834311 in Lake Clarke Shores, Florida
Provider Information
- NPI Number
- 1356834311
- Entity Type
- Organization
- Organization Name
- Amazing Grace Assisted Living Home III LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 13, 2018
- Last Updated
- Jun 13, 2018
Practice Location
- Address
- 1851 EVERGREEN DR
- State
- Florida
- ZIP Code
- 33406-5231
- Phone
- (561) 642-4221
Authorized Official
- Name
- MRS. DEBBIE LYTLE
- Title
- OWNER
- Phone
- (561) 818-5790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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