Organization · Type 2 NPI

House of Light Senior Living, LLC

Assisted Living Facility · Palm Bay, FL

NPI number 1053735514 Active

Practice location

1797 Blaine St NE
Palm Bay, FL 32905-5142

Fax (321) 345-5925

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

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NPI record

NPI: 1053735514
Entity type: Organization (Type 2)
Issued: Feb 4, 2014
Last updated: Nov 23, 2022
Status: Active
Subpart: Yes of House of Light Senior Living, LLC

Other names

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House of Light Senior Living II · doing business as

Authorized official

Ms. Viviene Cornetta Moore
Administrator
(321) 806-7091

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About NPI 1053735514

House of Light Senior Living, LLC's National Provider Identifier is 1053735514, issued on Feb 4, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Palm Bay, FL. The record was last updated on Nov 23, 2022.