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NPI Code Detail

MEDICARE: ALF AT VERO BEACH LLC

MEDICARE: ALF AT VERO BEACH LLC
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

General Provider Information

NPI Number : 1336440320
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALF AT VERO BEACH LLC
Provider Business Mailing Address
First Line : 3855 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4882
Country : US
Telephone Number : 850-392-0600
Fax Number : 850-392-0000
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 : 850-392-0600
Fax Number : 850-392-0000
Authorized Official
Title or Position : MANAGER
Name : JOHN E WARREN
Credential :
Telephone Number : 850-392-0600
Provider Enumeration Date : 11/08/2010
Last Update Date : 04/30/2014

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Directions to “ALF AT VERO BEACH LLC ” Practice Location

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