Organization
LIFESPACE COMMUNITIES INC
Active
Parent organization
LIFESPACE COMMUNITIES INC
Other names
The Waterford
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPACE COMMUNITIES INC
Authorized official
JODI HIRSCH (SVP & GENERAL COUNSEL)
(515) 288-5805
Entity
Organization
Contact information
Practice address
601 UNIVERSE BLVD, JUNO BEACH, FL 33408-2444
(561) 627-3800
(561) 694-0242
Mailing address
601 UNIVERSE BLVD, JUNO BEACH, FL 33408-2444
(561) 627-3800
(561) 694-0242
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
21181096
FL
314000000X
Skilled Nursing Facility
Primary
SNF1587096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020661000
—
FL
01
—
L22
BC/BS
FL
Enumeration date
06/03/2006
Last updated
03/11/2019
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