AT HOME CARE ASSISTED LIVING FACILITY INC. NPI 1669759015

NPI Information

AT HOME CARE ASSISTED LIVING FACILITY, INC. is an assisted living facility in Eustis, 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. AT HOME CARE ASSISTED LIVING FACILITY, INC. NPI is 1669759015. The provider is registered as an organization entity type.

The provider's business location address is:

42042 CHINABERRY ST
EUSTIS, FL
ZIP 32736-358
Phone: (407) 948-0723
Fax: (321) 256-5193

The provider's authorized official is Keisha Latoya Gist .
The authorized official title is Administrator and has the following contact phone number (407) 948-0723.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 11/14/2011.

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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