Organization
A.L.F. AT OCEAN BREEZE GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALEI STOCKSTILL (ADMINISTRATOR)
(321) 591-4113
Entity
Organization
Contact information
Practice address
535 JACKSON AVE, SATELLITE BEACH, FL 32937-2929
(321) 610-7056
(321) 989-0207
Mailing address
PO BOX 372068, SATELLITE BEACH, FL 32937-0068
(321) 610-7056
(321) 989-0207
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11569
FL
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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