Organization
COQUINA CAY ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CLINE (OWNER)
(386) 451-5923
Entity
Organization
Contact information
Practice address
5773 PENDLEBURY CT, PORT ORANGE, FL 32127-7960
(386) 233-9980
Mailing address
117 SWEET BAY AVE, NEW SMYRNA BEACH, FL 32168-7935
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 11725
FL
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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