Coquina Cay Assisted Living
Assisted Living Facility in Port Orange, FL. Organization (NPI-2).
NPI number1275917130
StatusActive
Last updated in NPPESJul 10, 2015
Details
- NPI
- 1275917130
- Entity type
- Organization (NPI-2)
- Legal business name
- Coquina Cay Assisted Living
- Organization subpart
- No
- Enumeration date
- Jul 10, 2015
- Last updated
- Jul 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL 11725 | FL | Yes |
Practice location
5773 Pendlebury CtPort Orange, FL 32127-7960
Phone 386-233-9980
Mailing address
117 Sweet Bay AveNew Smyrna Beach, FL 32168-7935
Authorized official
Patricia Cline
Owner
3864515923
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All 22 Assisted Living Facility providers in Port Orange · All 1,907 providers in Port Orange
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