Coastal Center Operations LLC
Skilled Nursing Facility in Daytona Beach, FL. Organization (NPI-2).
NPI number1164034567
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1164034567
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Center Operations LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- May 13, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
820 N Clyde Morris BlvdDaytona Beach, FL 32117-4594
Phone 386-274-4575
Mailing address
820 N Clyde Morris BlvdDaytona Beach, FL 32117-4594
Authorized official
Solomon Klein
Member
3479091811
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