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Space Coast Assisted Living Llc
Assisted Living Facility in Melbourne, Florida
NPI 1629343470

Space Coast Assisted Living Llc is an Assisted Living Facility based in Merritt Island, FL. Space Coast Assisted Living Llc practices in Melbourne, FL. The NPI Number for Space Coast Assisted Living Llc is 1629343470 and holds a License No. 11611 (Florida).

The current practice location address for Space Coast Assisted Living Llc is 3366 Peninsula Cir, Melbourne, FL and can be reached out via phone at 321-610-8323.

Location: 3366 Peninsula Cir, Melbourne, FL, 32952-6803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629343470
Provider Name
Space Coast Assisted Living Llc
Credential
Provider Entity Type
Organization
Address
3366 Peninsula Cir, Melbourne, FL, 32952-6803
Phone Number
321-610-8323
Fax Number
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3366 Peninsula Cir
City
Melbourne
State
Florida
Zip
32940-1107
Phone Number
321-610-8323
Fax Number
person
Provider Business Mailing Address Details
Address
3366 Peninsula Cir
City
Melbourne
State
Florida
Zip
32940-1107
Phone Number
321-610-8323
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
11611 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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