Organization
SOUTHERN BREEZE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DEAN (ADMINISTRATOR)
(386) 447-7405
Entity
Organization
Contact information
Practice address
18 WOODWARD LN, PALM COAST, FL 32164-3103
(386) 447-7405
Mailing address
18 WOODWARD LN, PALM COAST, FL 32164-3103
(386) 447-7405
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12111
FL
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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