Organization
SEACOAST AT GOVERNOR'S GLEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NADEAU (CHIEF OPERATING OFFICER)
(954) 261-2650
Entity
Organization
Contact information
Practice address
5000 GOVERNORS DR, FOREST PARK, GA 30297-6138
(404) 362-0404
Mailing address
5000 GOVERNORS DR, FOREST PARK, GA 30297-6138
(404) 362-0404
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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