HOUSE OF LIGHT SENIOR LIVING LLC NPI 1053735514

NPI Information

HOUSE OF LIGHT SENIOR LIVING, LLC is an assisted living facility in Palm Bay, 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. HOUSE OF LIGHT SENIOR LIVING, LLC NPI is 1053735514. The provider is registered as an organization entity type.
The provider Is Doing Business As House Of Light Senior Living Ii.

The provider's business location address is:

1797 BLAINE ST NE
PALM BAY, FL
ZIP 32905-142
Phone: (321) 914-3658
Fax: (321) 345-5925

The provider's authorized official is Viviene Cornetta Moore .
The authorized official title is Administrator and has the following contact phone number (321) 806-7091.

The enumeration date for this NPI number is 2/4/2014 and was last updated on 11/23/2022.

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:

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