Organization
SEASIDE CENTER OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MCDONNELL (ADMINISTRATOR)
(386) 252-2600
Entity
Organization
Contact information
Practice address
324 WILDER BLVD, DAYTONA BEACH, FL 32114-6025
(386) 252-2600
Mailing address
324 WILDER BLVD, DAYTONA BEACH, FL 32114-6025
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
06/05/2024
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