Healthcare Provider Details

I. General information

NPI: 1093284903
Provider Name (Legal Business Name): NEW DAY ASSISTED LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 SW MCALLISTER LN
PORT ST LUCIE FL
34953-2064
US

IV. Provider business mailing address

1931 SW MCALLISTER LN
PORT ST LUCIE FL
34953-2064
US

V. Phone/Fax

Practice location:
  • Phone: 404-707-0784
  • Fax:
Mailing address:
  • Phone: 404-707-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: ROOVENS PIERRE LOUIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-707-0784