Organization
699 ASSISTED LIVING, LLC
Active
Other names
Seashore Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN BRACKETT (OPERATIONS DIRECTOR)
(949) 338-4851
Entity
Organization
Contact information
Practice address
699 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6415
(386) 272-3042
Mailing address
20 MOUNT VIEW LN STE C, COLORADO SPRINGS, CO 80907-4359
(949) 338-4851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119739700
—
FL
Enumeration date
09/21/2022
Last updated
02/23/2024
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