| NPI | 1346492121 |
|---|---|
| Doing Business As | FLORIDA SHORES OF EDGEWATER ALF |
| Entity Type | Organization |
| Authorized Contact | ISABELO NUDALO Owner / Administrator 386-428-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8229) |
| Enumeration Date | 2008-10-11 |
| Last Update Date | 2008-10-11 |