# EMERALD COAST HOME LIVING LLC

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

## Provider details

- **NPI number:** 1881503266
- **Authorized official:** MR. LERIUS AMBROISE (MANAGER)
- **Authorized official phone:** (850) 543-9884

## Contact information

- **Practice address:** 2401 AMBERJACK CT, NAVARRE, FL 32566-2563
- **Practice address phone:** (850) 543-9884
- **Mailing address:** 2401 AMBERJACK CT, NAVARRE, FL 32566-2563
- **Mailing address phone:** (850) 543-9884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026