# SEACREST RESIDENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356715734
- **Authorized official:** ARLENE HENRY (MANAGER)
- **Authorized official phone:** (561) 577-3589

## Contact information

- **Practice address:** 144 SE 31ST AVE, BOYNTON BEACH, FL 33435-8227
- **Practice address phone:** (561) 577-3589
- **Mailing address:** 144 SE 31ST AVE, BOYNTON BEACH, FL 33435-8227
- **Mailing address phone:** (561) 577-3589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 091916 | FL | Yes |

## Other

- **Enumeration date:** 11/22/2015
- **Last updated:** 11/22/2015