Organization Name: | PARAH INC ASSISTED LIVING FACILITY |
NPI Number: | 1386811735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA GAYLE (ADMINISTRATOR) |
Mailing Address: | 701 Sw Tulip Blvd Port Saint Lucie |
State: | FL US |
Postal Code: | 349533304 |
Phone Number: | 7728786586 |
Fax Number: | 7728786586 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 10780 |
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. |