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Space Coast Assisted Living Llc
Assisted Living Facility in Titusville, Florida
NPI 1629731591

Space Coast Assisted Living Llc is an Assisted Living Facility based in Titusville, FL. Space Coast Assisted Living Llc practices in Titusville, FL. The NPI Number for Space Coast Assisted Living Llc is 1629731591 and holds a License No. (Florida).

The current practice location address for Space Coast Assisted Living Llc is 1832 Country Club Dr, Titusville, FL and can be reached out via phone at 321-567-4191 and via fax at 888-335-7714.

Location: 1832 Country Club Dr, Titusville, FL, 32780-5346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629731591
Provider Name
Space Coast Assisted Living Llc
Credential
Provider Entity Type
Organization
Address
1832 Country Club Dr, Titusville, FL, 32780-5346
Phone Number
321-567-4191
Fax Number
888-335-7714
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10800 01 FL AHCA
institution
Provider Business Practice Location Address Details
Address
1832 Country Club Dr
City
Titusville
State
Florida
Zip
32780-5346
Phone Number
321-567-4191
Fax Number
888-335-7714
person
Provider Business Mailing Address Details
Address
1832 Country Club Dr
City
Titusville
State
Florida
Zip
32780-5346
Phone Number
321-567-4191
Fax Number
888-335-7714
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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