Provider Demographics
NPI:1952947228
Name:SAVORAH ALF II
Entity type:Organization
Organization Name:SAVORAH ALF II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-475-6004
Mailing Address - Street 1:2369 SW FERN CIR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2951
Mailing Address - Country:US
Mailing Address - Phone:772-475-6004
Mailing Address - Fax:772-873-3272
Practice Address - Street 1:2369 SW FERN CIR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2951
Practice Address - Country:US
Practice Address - Phone:772-475-6004
Practice Address - Fax:772-873-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility