Organization
COASTAL LIVING LLC
Active
Other names
Banana River Villas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA E FINES RN (OWNER)
(407) 451-5894
Entity
Organization
Contact information
Practice address
1275 N BANANA RIVER DR, MERRITT ISLAND, FL 32952-5788
(321) 704-6190
(407) 386-6267
Mailing address
1800 33RD ST, SUITE 200, ORLANDO, FL 32839-8852
(407) 451-5894
(407) 386-6267
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11441
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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