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NPI Code Detail

MEDICARE: THE PLACE AT VERO BEACH, INC

MEDICARE: THE PLACE AT VERO BEACH, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityAL8672FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730481524
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PLACE AT VERO BEACH, INC
Provider Business Mailing Address
First Line : 3855 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4882
Country : US
Telephone Number : 772-770-3796
Fax Number :
Provider Business Practice Location Address
First Line : 3855 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4882
Country : US
Telephone Number : 772-770-3796
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DANIEL S ANDERSON
Credential :
Telephone Number : 772-770-3796
Provider Enumeration Date : 11/30/2010
Last Update Date : 11/30/2010

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Directions to “THE PLACE AT VERO BEACH, INC ” Practice Location

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