Organization
GV PALM COAST, LLC
Active
Other names
Grand Villa of Palm Coast
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MONTHIE (SENIOR OPERATIONS COORDINATOR)
(727) 726-3980
Entity
Organization
Contact information
Practice address
100 MAGNOLIA TRACE WAY, PALM COAST, FL 32164-2382
(386) 445-3500
Mailing address
13770 58TH ST N STE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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