Organization
COASTAL LIVING LLC DBA BANANA RIVER VILLAS ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GERARD SPEARS (OWNER)
(321) 454-9528
Entity
Organization
Contact information
Practice address
1275 N BANANA RIVER DR, MERRITT ISLAND, FL 32952-5757
(321) 454-9528
(321) 454-9528
Mailing address
1275 N BANANA RIVER DR, MERRITT ISLAND, FL 32952-5757
(321) 454-9528
(321) 454-9528
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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