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Organization

EMERALD COAST HEALTHCARE, LLC

Active
Other names
Emerald Coast Congregate
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAM CORTLAND GREEN (OWNER)
(949) 397-0658
Entity
Organization

Contact information

Practice address
3495 JEFFERSON ST, RIVERSIDE, CA 92504-3519
(949) 397-0658
Mailing address
27702 CROWN VALLEY PKWY STE D4, BOX 151, LADERA RANCH, CA 92694-0613
(949) 397-0658

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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