Everlasting Grace Assisted Living Inc. in Lakeland - Assisted Living, Mental Illness
Everlasting Grace Assisted Living Inc. - NPI 1770742231
Everlasting Grace Assisted Living Inc. is a Assisted Living, Mental Illness in Lakeland, Florida. Everlasting Grace Assisted Living Inc. practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Everlasting Grace Assisted Living Inc. is 1770742231. The last update date is 2008-06-09.
Everlasting Grace Assisted Living Inc.'s current location address is 747 Bon Air St, Lakeland, Florida. You can contact this provider via phone number 8636881196 and fax number 8636877707. The mailing address for Everlasting Grace Assisted Living Inc. is 747 Bon Air St, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Everlasting Grace Assisted Living Inc. |
|---|---|
| Address | 747 Bon Air St, Lakeland, Florida |
| Phone Number | 8636881196 |
| Fax Number | 8636877707 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gasmena Pier |
| Telephone Number | 8635957353 |
NPI Number Detail
| NPI Number | 1770742231 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 747 Bon Air St |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338054631 |
| Phone Number | 8636881196 |
| Fax Number | 8636877707 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | AL # 5195 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142552800 | FL | -- |
Post Comment/ Review Below
What is the Everlasting Grace Assisted Living Inc.'s unique identification number?
The Everlasting Grace Assisted Living Inc. has been assigned the NPI (National Provider Identifier) Number 1770742231 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Everlasting Grace Assisted Living Inc. is located?
The Everlasting Grace Assisted Living Inc. is situated at the following address: 747 Bon Air St, Lakeland, FL, 338054631.
What is Everlasting Grace Assisted Living Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Everlasting Grace Assisted Living Inc. is Assisted Living, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 3104A0625X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770742231 to Everlasting Grace Assisted Living Inc.?
The Everlasting Grace Assisted Living Inc. received its 1770742231 assignment from the Centers for Medicare & Medicaid Services on 2008-06-09.
As of what date were the Everlasting Grace Assisted Living Inc.'s details last updated?
The information pertaining to the Everlasting Grace Assisted Living Inc., including its address, specialty, and other details, was most recently updated on 2008-06-09.
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