Organization
BRILLIANCE LIVING CORPORATION
Active
Other names
Brilliance Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
RINU ASWANI (AUTHORIZED OFFICIAL)
(386) 690-1709
Entity
Organization
Contact information
Practice address
2010 S RIDGEWOOD AVE, EDGEWATER, FL 32141-4253
(386) 410-5145
Mailing address
2010 S RIDGEWOOD AVE, EDGEWATER, FL 32141-4253
(386) 410-5145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022573700
—
FL
Enumeration date
02/02/2018
Last updated
10/05/2023
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