Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Therapeutic Assisted Living Corp

Organization Assisted Living Facility · NPI 1164018214

Therapeutic Assisted Living Corp is an Assisted Living Facility in Palm Coast, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Lyndenhurst Ln
Palm Coast, FL 32137-9521
Phone: (904) 501-8991
Fax: (844) 769-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X

Record details

NPI number1164018214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latasha Gilyard — Alf Administrator · (904) 501-8991
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020
Mailing address25 Lyndenhurst Ln, Palm Coast, FL 32137-9521

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