New Life Assisted Living
Organization Active NPI Assisted Living Facility · Fort Pierce, FL
NPI 1922433259 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1922433259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 11797 (FL)
- Legal business name
- NEW LIFE ASSISTED LIVING
- Practice address
- 1301 Wyoming Ave
Fort Pierce, FL 34982 - Phone
- (772) 882-4293
- NPI assigned
- Sep 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Ethel Newton
- Title
- Owner
- Phone
- (772) 626-6161
Corporate family (same tax ID) 1
Practitioners 1
-
Bruce David Schulman, D.P.M.
National Provider Directory
- Tax ID family
- New Life Assisted Living
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 11797 | FL | Yes |
Addresses
Primary practice location
1301 Wyoming Ave
Fort Pierce, FL 34982
Mailing address
1301 Wyoming Ave
Fort Pierce, FL 34982-3645
Phone (772) 882-4293
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140680900 | Medicaid | FL |
Other providers in Fort Pierce, FL
- New Horizons of the Treasure Coast, Inc
- New Horizons of the Treasure Coast, Inc
- New Horizons of the Treasure Coast, Inc
- New Horizons of the Treasure Coast, Inc
- New Horizons of the Treasure Coast, Inc
- New Light Transitional Living LLC
- New Tradistions in Health, LLC
- Nancy Deane Newbury
- Preston Elaine Newell
- Erin P Newman
All providers in Fort Pierce, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.