Le Bonfire INC
Assisted Living Facility in Palm Bay, FL. Organization (NPI-2).
NPI number1457799751
StatusActive
Last updated in NPPESJun 7, 2013
Details
- NPI
- 1457799751
- Entity type
- Organization (NPI-2)
- Legal business name
- Le Bonfire INC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2013
- Last updated
- Jun 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL12307 | FL | Yes |
Practice location
152 Bonfire Ave NePalm Bay, FL 32907-3163
Phone 321-674-9066
Mailing address
152 Bonfire Ave NePalm Bay, FL 32907-3163
Phone 321-674-9066
Authorized official
Diana Richardson
Director
3216749066
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