Organization Name: | A PLACE LIKE HOME, ALF |
NPI Number: | 1144563016 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE MARIE WALKER (ADMINISTRATOR/OWNER) |
Mailing Address: | 1971 Port Malabar Blvd Ne Palm Bay |
State: | FL US |
Postal Code: | 329055436 |
Phone Number: | 3216933325 |
Fax Number: | 3218215327 |
NPI Enumeration Date: | 03/29/2013 |
NPI Last Update Date: | 03/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 11499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |