# EMERALD COAST ADULT DAY CARE CENTER LLC

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

## Provider details

- **NPI number:** 1699189837
- **Authorized official:** MR. DONALD GROSSKOPF (OWNER/MANAGER)
- **Authorized official phone:** (850) 417-6308

## Contact information

- **Practice address:** 983 AIRPORT RD, DESTIN, FL 32541-2835
- **Practice address phone:** (850) 460-2929
- **Practice address fax:** (850) 460-2952
- **Mailing address:** 983 AIRPORT RD, DESTIN, FL 32541-2835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 9277 | FL | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/16/2014