SOUTHERN LIVING OF TITUSVILLE NPI 1659816403

NPI Information

  • NPI: 1659816403
  • Provider Name: SOUTHERN LIVING OF TITUSVILLE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2375 E JAY JAY RD
    TITUSVILLE, FL
    ZIP 32796
  • Phone: (321) 225-4668

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NPI Details

SOUTHERN LIVING OF TITUSVILLE is an assisted living facility in Titusville, 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. SOUTHERN LIVING OF TITUSVILLE NPI is 1659816403. The provider is registered as an organization entity type.

The provider's business location address is:

2375 E JAY JAY RD
TITUSVILLE, FL
ZIP 32796-316
Phone: (321) 225-4668
Fax: (321) 225-4668

The provider's authorized official is Lisa Waring .
The authorized official title is Owner/administrator and has the following contact phone number (321) 225-4668.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/4/2017.

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
1310400000XAssisted Living FacilityAL12517FLORIDAYes

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: 3/30/2025

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