Florida Assistant Living Organization, LLC

NPI #1720498215 in Madison, Florida

Provider Information

NPI Number
1720498215
Entity Type
Organization
Organization Name
Florida Assistant Living Organization, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
May 6, 2014
Last Updated
May 6, 2014

Practice Location

Address
585 SE LAKESHORE DR
State
Florida
ZIP Code
32340-2734
Phone
(850) 973-2415

Authorized Official

Name
WILLIE M. PEACOCK
Title
ADMINISTRATOR
Phone
(850) 973-2380

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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