Organization
CORAL REEF ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHODE H NOSISTEL (ADMINISTRATOR)
(321) 208-1172
Entity
Organization
Contact information
Practice address
325 GASTIN ST SW, PALM BAY, FL 32908-1241
(321) 208-1172
Mailing address
1212 CORAL REEF AVE NW, PALM BAY, FL 32907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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