Most Relevant Information
Provider Data
| NPI Number: | 1003422288 |
| Provider Name: | DORRETT SCOTT |
| Entity Type: | Individual |
| Taxonomy Code: | 310400000X |
| Specialty: | Assisted Living Facility |
| License Number: | AL12563 |
Most Important Dates
| Enumeration Date: | 09/22/2020 |
| Last Updated: | 09/22/2020 |
Provider Practice Location
124 W 13TH ST
RIVIERA BEACH
FL
334046844
Practice Location Phone/Fax
| Phone: | 5615128149 |
| Fax: |
Provider Mailing Location
124 W 13TH ST
RIVIERA BEACH
FL
334046844
Provider Mailing Phone/Fax
| Phone: | 5615128149 |
| Fax: |