FLORIDA SHORES ASSISTED LIVING FACILITY INC. NPI 1346492121

NPI Information

NPI: 1346492121
Provider Name: FLORIDA SHORES ASSISTED LIVING FACILITY INC.

Doing Business As: FLORIDA SHORES OF EDGEWATER ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1229 MANGO TREE DR
EDGEWATER, FL
ZIP 32132
Phone: (386) 428-5370
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FLORIDA SHORES ASSISTED LIVING FACILITY INC. is an assisted living facility in Edgewater, 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. FLORIDA SHORES ASSISTED LIVING FACILITY INC. NPI is 1346492121. The provider is registered as an organization entity type.
The provider Is Doing Business As Florida Shores Of Edgewater Alf.

The provider's business location address is:

1229 MANGO TREE DR
EDGEWATER, FL
ZIP 32132-005
Phone: (386) 428-5370
Fax: (386) 428-5370

The provider's authorized official is Isabelo Nudalo .
The authorized official title is Owner / Administrator and has the following contact phone number (386) 428-5370.

The enumeration date for this NPI number is 10/11/2008 and was last updated on 10/11/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL8229	FL	Yes

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: 5/5/2024

NPI Synchronization or Removal

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