Organization
COASTAL CENTER OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON KLEIN (MEMBER)
(347) 909-1811
Entity
Organization
Contact information
Practice address
820 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117-4594
(386) 274-4575
Mailing address
820 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117-4594
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
05/13/2021
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