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NPI Code Detail

MEDICARE: VERO BEACH ASSISTED LIVING LLC

MEDICARE: VERO BEACH ASSISTED LIVING 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 Facility11208FL

General Provider Information

NPI Number : 1831350347
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERO BEACH ASSISTED LIVING LLC
Provider Business Mailing Address
First Line : 3250 QUAY DOCK RD
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-5955
Country : US
Telephone Number : 772-360-8211
Fax Number :
Provider Business Practice Location Address
First Line : 3250 QUAY DOCK RD
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-5955
Country : US
Telephone Number : 772-360-8211
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SILMARA TOLEDO
Credential :
Telephone Number : 772-360-8211
Provider Enumeration Date : 06/18/2008
Last Update Date : 06/18/2008

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Directions to “VERO BEACH ASSISTED LIVING LLC ” Practice Location

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