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AUTUMN BREEZE ASSISTED LIVING FACILITY INC NPI 1023424405


NPI Information

NPI: 1023424405
Provider Name: AUTUMN BREEZE ASSISTED LIVING FACILITY INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
904 LAKE MARTHA DR NE
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 292-0780
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AUTUMN BREEZE ASSISTED LIVING FACILITY INC is an assisted living facility in Winter Haven, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AUTUMN BREEZE ASSISTED LIVING FACILITY INC NPI is 1023424405. The provider is registered as an organization entity type.

The provider's business location address is:

904 LAKE MARTHA DR NE
WINTER HAVEN, FL
ZIP 33881-278
Phone: (863) 292-0780
Fax: (863) 291-0808

The provider's authorized official is Marie Possible .
The authorized official title is Owner and has the following contact phone number (863) 242-5544.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL11309FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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