Organization
BREVARD OAKS CENTER, LLC
Active
Parent organization
GULF COAST FACILITIES, LLC
Other names
Viera del Mar Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST FACILITIES, LLC
Authorized official
JAMES RICHARDSON (PRESIDENT)
(850) 430-0000
Entity
Organization
Contact information
Practice address
2355 VIDINA DRIVE, VIERA,, FL 32940
(800) 881-9905
Mailing address
40 PALAFOX PL STE 400, PENSACOLA, FL 32502-5699
(850) 430-0000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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