Organization
ST AUGUSTINE FL OPCO LLC
Active
Other names
The Lilac at Bayview
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (COO)
(904) 829-3475
Entity
Organization
Contact information
Practice address
161 MARINE ST, ST AUGUSTINE, FL 32084-5154
(904) 829-3475
Mailing address
980 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632-3301
(201) 928-7816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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