Organization
GENERATIONS ON THE BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE LEE CLERC (OWNER/ADMINISTRATOR)
(321) 610-4636
Entity
Organization
Contact information
Practice address
427 ORIOLE LN, INDIALANTIC, FL 32903-4737
(321) 610-4636
(321) 610-4626
Mailing address
427 ORIOLE LN, INDIALANTIC, FL 32903-4737
(321) 610-4636
(321) 610-4626
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11930
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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