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MOTHERLYCARE ASSISTED LIVING FACILITY LLC NPI 1366805764


NPI Information

NPI: 1366805764
Provider Name: MOTHERLYCARE ASSISTED LIVING FACILITY, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5 BIG DIPPER LN
PALM COAST, FL
ZIP 32137
Phone: (386) 742-1148
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MOTHERLYCARE ASSISTED LIVING FACILITY, LLC is an assisted living facility in Palm Coast, 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. MOTHERLYCARE ASSISTED LIVING FACILITY, LLC NPI is 1366805764. The provider is registered as an organization entity type.

The provider's business location address is:

5 BIG DIPPER LN
PALM COAST, FL
ZIP 32137-355
Phone: (386) 742-1148
Fax: (386) 742-1151

The provider's authorized official is Cecilia Hidalgo Vicencio .
The authorized official title is Owner/ Administrator and has the following contact phone number (386) 742-1148.

The enumeration date for this NPI number is 4/1/2016 and was last updated on 4/1/2016.


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 FacilityAL12779FLORIDAYes

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: 11/14/2023

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