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PRINCETON VILLAGE OF PALM COAST

Street Address

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100 MAGNOLIA TRACE WAY
PALM COAST, FL 32164-2382
Phone: (386) 445-3500
County: Flagler

Mailing Address

100 MAGNOLIA TRACE WAY
PALM COAST, FL 32164-2382
County: Flagler

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Administrator: TERESA K BOWENS
Financial Officer: MICHAEL A SMITH
Owner/Licensee: ARHC BHPALFL01 TRS, LLC
Owner/Licensee Since: 6/1/2013
Controlling Interest for ARHC BHPALFL01 TRS, LLC
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Profit Status: For-Profit
Licensed Beds: 80
Bed Types:
Extended Congregate Care : 80
Optional State Supplement : 0
Private : 80
AHCA Number (File Number): 11967189
AHCA Field Office: 04
License Number: 11267
Current License Effective: 7/16/2015
License Expires: 1/15/2017
License Status: LICENSED

Services/Characteristics:

Specialty License :  Extended Congregate Care
Continuing Care Retirement Community :  No
Adult Day Care Services :  No

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
08/24/2015 2015003672 FineSurvey $500.00
10/15/2014 2014008823 FineSurvey $500.00

The legal actions displayed are issued for the licensee of the facility/provider at the time the case was initiated. If a change of licensee has occurred, "owner since" represents the date the current licensee began. The Final Order displays the name of the appropriate licensee.

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Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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