Organization
SEASIDE VILLA ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL RANEA MACKEY LCSW (ADMINISTRATOR/OWNER)
(321) 626-5321
Entity
Organization
Contact information
Practice address
610 PALM DRIVE, SATELLITE BEACH, FL 32937
(321) 626-5321
(321) 777-7545
Mailing address
610 PALM DRIVE, SATELLITE BEACH, FL 32937
(321) 626-5321
(321) 777-7545
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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