Organization
SEASIDE MANOR ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEVI KOHN (MEMBER)
(718) 338-2999
Entity
Organization
Contact information
Practice address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
(386) 441-1771
Mailing address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8860
ALF
FL
Enumeration date
08/28/2017
Last updated
08/28/2017
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